| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.91 | $22.91 | $70.79 | |
BCBS
| Facility | $190.55 | $346.74 | $630.96 | |
Cigna
| Facility | $288.40 | $288.40 | $288.40 | |
Medcost
| Facility | $22.39 | $60.26 | $117.49 | |
United
| Facility | $912.01 | $1,047.13 | $1,380.38 |