| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $426.58 | $831.76 | |
Aetna
| Professional | $123.03 | $138.04 | $190.55 | |
BCBS
| Professional | $173.78 | $186.21 | $245.47 | |
Cigna
| Facility | $114.82 | $426.58 | $1,000.00 | |
Medcost
| Facility | $131.83 | $158.49 | $323.59 | |
United
| Facility | $158.49 | $173.78 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $173.78 |