| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $354.81 | $676.08 | |
Aetna
| Professional | $100.00 | $114.82 | $154.88 | |
BCBS
| Professional | $141.25 | $151.36 | $199.53 | |
Cigna
| Facility | $93.33 | $363.08 | $812.83 | |
Medcost
| Facility | $107.15 | $128.82 | $245.47 | |
United
| Facility | $128.82 | $141.25 | $169.82 | |
United
| Professional | $60.26 | $85.11 | $141.25 |