| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $601.88 | $601.88 | $601.88 | |
Aetna
| Professional | $577.50 | $601.88 | $1,064.82 | |
BCBS
| Professional | $848.70 | $1,107.63 | $1,463.39 | |
Cigna
| Facility | $454.17 | $782.41 | $863.85 | |
Cigna
| Professional | $571.16 | $731.27 | $782.41 | |
Medcost
| Facility | $541.14 | $872.00 | $1,909.81 | |
Medcost
| Professional | $680.00 | $680.00 | $680.00 | |
United
| Professional | $404.45 | $577.30 | $762.71 |