| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $676.08 | $1,318.26 | |
Aetna
| Professional | $190.55 | $218.78 | $302.00 | |
BCBS
| Professional | $275.42 | $295.12 | $389.05 | |
Cigna
| Facility | $177.83 | $676.08 | $1,584.89 | |
Medcost
| Facility | $204.17 | $234.42 | $467.74 | |
United
| Facility | $245.47 | $275.42 | $331.13 | |
United
| Professional | $114.82 | $165.96 | $275.42 |