| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.84 | $111.25 | $676.40 | |
Aetna
| Professional | $111.25 | $111.25 | $114.10 | |
BCBS
| Professional | $142.63 | $142.63 | $195.05 | |
Cigna
| Facility | $95.53 | $351.37 | $813.25 | |
Medcost
| Facility | $111.25 | $142.63 | $179.71 | |
United
| Professional | $59.90 | $71.31 | $129.88 |