| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.89 | $104.62 | $636.09 | |
Aetna
| Professional | $104.62 | $104.62 | $107.30 | |
BCBS
| Professional | $134.13 | $134.13 | $183.42 | |
Cigna
| Facility | $89.37 | $272.00 | $764.74 | |
Medcost
| Facility | $104.62 | $134.13 | $169.00 | |
United
| Facility | $120.72 | $134.13 | $134.13 | |
United
| Professional | $56.33 | $67.06 | $122.14 |