| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $288.40 | $562.34 | |
Aetna
| Professional | $123.03 | $138.04 | $208.93 | |
BCBS
| Facility | $1,071.52 | $1,071.52 | $1,148.15 | |
BCBS
| Professional | $154.88 | $181.97 | $245.47 | |
Cigna
| Facility | $114.82 | $446.68 | $1,000.00 | |
Cigna
| Professional | $79.43 | $83.18 | $229.09 | |
Medcost
| Facility | $123.03 | $158.49 | $302.00 | |
United
| Facility | $158.49 | $173.78 | $208.93 | |
United
| Professional | $74.13 | $104.71 | $173.78 |