| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.12 | $134.96 | $820.56 | |
Aetna
| Professional | $134.96 | $138.41 | $150.54 | |
BCBS
| Professional | $173.03 | $173.03 | $236.62 | |
Cigna
| Facility | $115.29 | $426.26 | $986.59 | |
Cigna
| Professional | $126.40 | $248.83 | $395.00 | |
Medcost
| Facility | $121.12 | $138.41 | $185.14 | |
Medcost
| Professional | $173.03 | $173.03 | $173.03 | |
United
| Professional | $72.67 | $103.82 | $207.64 |