| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $794.33 | $1,548.82 | |
Aetna
| Professional | $229.09 | $257.04 | $363.08 | |
BCBS
| Facility | $269.15 | $295.12 | $1,995.26 | |
BCBS
| Professional | $323.59 | $346.74 | $457.09 | |
Cigna
| Facility | $208.93 | $831.76 | $1,862.09 | |
Cigna
| Professional | $147.91 | $154.88 | $338.84 | |
Medcost
| Facility | $251.19 | $309.03 | $588.84 | |
United
| Facility | $295.12 | $323.59 | $389.05 | |
United
| Professional | $134.90 | $194.98 | $323.59 |