| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $449.81 | $449.81 | $449.81 | |
Aetna
| Professional | $431.59 | $449.81 | $795.78 | |
BCBS
| Professional | $530.00 | $668.18 | $963.33 | |
Cigna
| Facility | $404.75 | $567.88 | $626.98 | |
Cigna
| Professional | $414.55 | $414.55 | $742.22 | |
Medcost
| Facility | $404.41 | $651.00 | $1,427.27 | |
Medcost
| Professional | $511.00 | $511.00 | $549.00 | |
United
| Professional | $307.02 | $449.35 | $611.21 |