| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.38 | $214.37 | $1,303.36 | |
Aetna
| Professional | $214.37 | $214.37 | $239.10 | |
BCBS
| Professional | $270.00 | $274.83 | $375.83 | |
Cigna
| Facility | $499.48 | $677.05 | $1,567.03 | |
Cigna
| Professional | $124.77 | $212.11 | $324.39 | |
Medcost
| Facility | $214.37 | $274.83 | $398.50 | |
United
| Professional | $115.43 | $156.76 | $274.83 |