| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $524.81 | $1,819.70 | $3,548.13 | |
Aetna
| Professional | $524.81 | $575.44 | $724.44 | |
BCBS
| Professional | $741.31 | $794.33 | $1,047.13 | |
Cigna
| Facility | $478.63 | $1,819.70 | $4,265.80 | |
Medcost
| Facility | $562.34 | $660.69 | $1,258.93 | |
United
| Facility | $660.69 | $741.31 | $891.25 | |
United
| Professional | $309.03 | $446.68 | $741.31 |