| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.57 | $223.87 | $436.52 | |
Aetna
| Professional | $69.18 | $77.62 | $100.00 | |
BCBS
| Facility | $100.00 | $107.15 | $630.96 | |
BCBS
| Professional | $91.20 | $97.72 | $128.82 | |
Cigna
| Facility | $60.26 | $234.42 | $524.81 | |
Cigna
| Professional | $60.26 | $60.26 | $60.26 | |
Medcost
| Facility | $69.18 | $85.11 | $165.96 | |
United
| Facility | $83.18 | $91.20 | $109.65 | |
United
| Professional | $38.90 | $56.23 | $95.50 |