| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.11 | $138.04 | $331.13 | |
Aetna
| Professional | $19.95 | $33.11 | $39.81 | |
BCBS
| Professional | $43.65 | $46.77 | $60.26 | |
Cigna
| Facility | $28.18 | $109.65 | $245.47 | |
Medcost
| Facility | $32.36 | $38.90 | $79.43 | |
United
| Facility | $38.90 | $43.65 | $52.48 | |
United
| Professional | $18.20 | $26.30 | $43.65 |