| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $407.38 | $776.25 | |
Aetna
| Professional | $123.03 | $138.04 | $181.97 | |
BCBS
| Facility | $169.82 | $186.21 | $218.78 | |
BCBS
| Professional | $162.18 | $173.78 | $229.09 | |
Cigna
| Facility | $107.15 | $416.87 | $933.25 | |
Cigna
| Professional | $107.15 | $107.15 | $107.15 | |
Medcost
| Facility | $125.89 | $154.88 | $302.00 | |
United
| Facility | $147.91 | $162.18 | $194.98 | |
United
| Professional | $69.18 | $102.33 | $173.78 |