| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.52 | $41.52 | $41.52 | |
Aetna
| Professional | $40.46 | $41.52 | $113.93 | |
BCBS
| Professional | $32.64 | $32.64 | $44.64 | |
Cigna
| Facility | $271.76 | $271.76 | $275.20 | |
Medcost
| Facility | $32.64 | $42.90 | $51.48 | |
Medcost
| Professional | $215.92 | $215.92 | $215.92 | |
United
| Facility | $264.45 | $264.45 | $324.87 | |
United
| Professional | $80.45 | $113.89 | $158.93 |