| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.98 | $21.15 | $128.59 | |
Aetna
| Professional | $21.15 | $21.15 | $23.59 | |
BCBS
| Professional | $27.11 | $27.11 | $37.07 | |
Cigna
| Facility | $49.27 | $78.59 | $154.56 | |
Cigna
| Professional | $31.39 | $31.39 | $39.24 | |
Medcost
| Facility | $20.60 | $24.40 | $34.15 | |
Medcost
| Professional | $27.11 | $27.11 | $27.11 | |
United
| Facility | $27.11 | $27.11 | $27.11 | |
United
| Professional | $11.39 | $16.27 | $32.53 |