| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $290.07 | $290.07 | $290.07 | |
Aetna
| Professional | $278.31 | $290.07 | $513.16 | |
BCBS
| Professional | $586.05 | $586.05 | $705.26 | |
Cigna
| Facility | $325.37 | $325.37 | $359.24 | |
Cigna
| Professional | $237.52 | $426.75 | $467.69 | |
Medcost
| Facility | $167.71 | $440.42 | $920.40 | |
Medcost
| Professional | $440.42 | $440.42 | $440.42 | |
United
| Professional | $194.92 | $277.95 | $362.88 |