| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $607.32 | $607.32 | $681.36 | |
BCBS
| Professional | $680.00 | $850.00 | $1,071.63 | |
Cigna
| Professional | $75.52 | $766.82 | $766.82 | |
Medcost
| Facility | $301.19 | $607.32 | $728.78 | |
Medcost
| Professional | $700.00 | $700.00 | $700.00 | |
United
| Professional | $279.94 | $399.17 | $540.12 |