| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $489.52 | $489.52 | $650.38 | |
BCBS
| Professional | $550.00 | $750.00 | $1,067.08 | |
Cigna
| Facility | $369.39 | $369.39 | $369.39 | |
Cigna
| Professional | $269.64 | $369.39 | $797.45 | |
Medcost
| Facility | $489.52 | $640.58 | $1,093.39 | |
Medcost
| Professional | $802.34 | $802.34 | $802.34 | |
United
| Professional | $306.76 | $435.42 | $548.74 |