| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $194.98 | $776.25 | $812.83 | |
Aetna
| Professional | $162.18 | $194.98 | $239.88 | |
BCBS
| Facility | $478.63 | $741.31 | $776.25 | |
BCBS
| Professional | $112.20 | $112.20 | $173.78 | |
Cigna
| Facility | $169.82 | $389.05 | $645.65 | |
Cigna
| Professional | $199.53 | $354.81 | $3,715.35 | |
Medcost
| Facility | $131.83 | $199.53 | $245.47 | |
Medcost
| Professional | $162.18 | $162.18 | $186.21 | |
United
| Facility | $109.65 | $245.47 | $295.12 | |
United
| Professional | $109.65 | $123.03 | $245.47 | |
Wellcare
| Facility | $1,174.90 | $1,174.90 | $1,174.90 |