| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $962.52 | $9,062.00 | |
Aetna
| Professional | $47.86 | $47.86 | $1,456.81 | |
BCBS
| Facility | $164.51 | $164.51 | $164.51 | |
Cigna
| Professional | $7.60 | $7.60 | $7.60 | |
Medcost
| Facility | $47.86 | $101.46 | $163.61 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |