| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.90 | $106.86 | $649.71 | |
Aetna
| Professional | $106.86 | $106.86 | $119.19 | |
BCBS
| Facility | $843.43 | $843.43 | $901.35 | |
BCBS
| Professional | $90.00 | $94.50 | $161.51 | |
Cigna
| Facility | $248.98 | $337.50 | $781.15 | |
Cigna
| Professional | $62.09 | $64.66 | $187.35 | |
Medcost
| Facility | $106.86 | $137.00 | $198.65 | |
United
| Professional | $57.54 | $68.50 | $124.75 |