| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $784.53 | $784.53 | $784.53 | |
Aetna
| Professional | $752.75 | $784.53 | $1,387.97 | |
BCBS
| Professional | $917.00 | $1,156.09 | $1,680.21 | |
Cigna
| Facility | $705.97 | $857.71 | $946.99 | |
Cigna
| Professional | $626.13 | $857.71 | $953.21 | |
Medcost
| Facility | $678.70 | $1,136.00 | $2,489.39 | |
Medcost
| Professional | $891.00 | $891.00 | $958.00 | |
United
| Professional | $527.19 | $741.87 | $953.21 |