| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.77 | $127.89 | $777.57 | |
Aetna
| Professional | $127.89 | $127.89 | $131.16 | |
BCBS
| Facility | $168.87 | $172.16 | $1,121.58 | |
BCBS
| Professional | $163.96 | $163.96 | $224.22 | |
Cigna
| Facility | $297.97 | $403.90 | $934.83 | |
Cigna
| Professional | $106.58 | $106.58 | $106.58 | |
Medcost
| Facility | $127.89 | $202.42 | $237.74 | |
Molina
| Professional | $90.18 | $90.18 | $90.18 | |
United
| Professional | $68.86 | $101.21 | $163.96 |