| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.50 | $576.42 | $1,032.51 | |
Aetna
| Professional | $237.82 | $247.86 | $438.50 | |
BCBS
| Professional | $200.00 | $252.15 | $520.80 | |
Cigna
| Facility | $278.04 | $278.04 | $306.98 | |
Cigna
| Professional | $202.97 | $364.82 | $399.82 | |
Medcost
| Facility | $143.31 | $376.35 | $810.31 | |
Medcost
| Professional | $376.35 | $376.35 | $376.35 | |
United
| Facility | $150.47 | $258.99 | $334.47 | |
United
| Professional | $166.56 | $237.50 | $310.08 |