| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.90 | $74.90 | $507.44 | |
Aetna
| Professional | $83.46 | $83.46 | $85.60 | |
BCBS
| Facility | $658.74 | $658.74 | $703.98 | |
BCBS
| Professional | $107.00 | $112.35 | $147.66 | |
Cigna
| Facility | $71.30 | $217.00 | $610.09 | |
Cigna
| Professional | $62.60 | $62.60 | $62.60 | |
Medcost
| Facility | $83.46 | $107.00 | $129.47 | |
United
| Professional | $44.94 | $61.03 | $107.00 |