| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $194.98 | $524.81 | |
Aetna
| Professional | $91.20 | $104.71 | $144.54 | |
BCBS
| Facility | $831.76 | $831.76 | $891.25 | |
BCBS
| Professional | $120.23 | $134.90 | $186.21 | |
Cigna
| Facility | $79.43 | $309.03 | $691.83 | |
Cigna
| Professional | $61.66 | $70.79 | $199.53 | |
Medcost
| Facility | $95.50 | $109.65 | $208.93 | |
United
| Facility | $109.65 | $123.03 | $147.91 | |
United
| Professional | $51.29 | $75.86 | $128.82 |