| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $139.12 | $139.12 | $706.44 | |
Aetna
| Professional | $119.17 | $119.17 | $119.17 | |
BCBS
| Professional | $198.74 | $206.69 | $274.26 | |
Cigna
| Facility | $270.70 | $431.82 | $1,133.17 | |
Cigna
| Professional | $96.83 | $96.83 | $96.83 | |
Medcost
| Facility | $116.19 | $165.52 | $272.60 | |
United
| Professional | $62.56 | $89.38 | $148.96 |