| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.30 | $55.30 | $374.65 | |
Aetna
| Professional | $63.20 | $63.20 | $63.20 | |
BCBS
| Facility | $486.36 | $486.36 | $519.76 | |
BCBS
| Professional | $79.00 | $82.95 | $109.02 | |
Cigna
| Facility | $52.64 | $160.21 | $450.44 | |
Medcost
| Facility | $61.62 | $79.00 | $95.59 | |
United
| Professional | $33.18 | $45.06 | $71.94 |