| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.63 | $144.46 | $878.32 | |
Aetna
| Professional | $144.46 | $144.46 | $148.16 | |
BCBS
| Professional | $185.20 | $194.46 | $255.58 | |
Cigna
| Facility | $336.58 | $456.24 | $1,055.97 | |
Medcost
| Facility | $144.46 | $185.20 | $222.24 | |
United
| Professional | $77.78 | $105.63 | $185.20 |