| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $197.21 | $394.09 | $717.45 | |
Aetna
| Professional | $197.21 | $197.21 | $245.03 | |
BCBS
| Professional | $263.00 | $276.14 | $359.65 | |
Cigna
| Facility | $306.00 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
Medcost
| Facility | $4.59 | $14.07 | $264.25 | |
United
| Professional | $300.00 | $300.00 | $300.00 |