| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $172.84 | $192.60 | $1,171.01 | |
Aetna
| Professional | $192.60 | $192.60 | $214.82 | |
BCBS
| Professional | $246.92 | $246.92 | $337.66 | |
Cigna
| Facility | $448.76 | $715.83 | $1,407.91 | |
Cigna
| Professional | $283.73 | $283.73 | $354.66 | |
Medcost
| Facility | $187.66 | $222.23 | $311.12 | |
Medcost
| Professional | $246.92 | $246.92 | $246.92 | |
United
| Facility | $222.23 | $246.92 | $246.92 | |
United
| Professional | $103.71 | $148.15 | $296.30 |