| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.84 | $172.84 | $918.63 | |
Aetna
| Professional | $154.97 | $154.97 | $154.97 | |
BCBS
| Professional | $246.92 | $256.80 | $337.66 | |
Cigna
| Facility | $352.04 | $561.55 | $1,407.91 | |
Cigna
| Professional | $120.29 | $283.73 | $354.66 | |
Medcost
| Facility | $151.09 | $174.34 | $256.85 | |
Medcost
| Professional | $205.63 | $205.63 | $205.63 | |
United
| Professional | $81.36 | $116.23 | $232.45 |