| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.93 | $24.44 | $148.60 | |
Aetna
| Professional | $24.44 | $24.44 | $27.26 | |
BCBS
| Professional | $31.33 | $31.33 | $42.84 | |
Cigna
| Facility | $56.93 | $90.81 | $178.60 | |
Cigna
| Professional | $35.93 | $35.93 | $44.91 | |
Medcost
| Facility | $23.81 | $28.20 | $39.47 | |
Medcost
| Professional | $31.33 | $31.33 | $31.33 | |
United
| Professional | $13.16 | $18.80 | $37.60 |