| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $91.20 | $309.03 | |
Aetna
| Professional | $42.66 | $52.48 | $77.62 | |
BCBS
| Facility | $398.11 | $398.11 | $426.58 | |
BCBS
| Professional | $64.57 | $75.86 | $102.33 | |
Cigna
| Facility | $42.66 | $165.96 | $371.54 | |
Cigna
| Professional | $27.54 | $30.20 | $67.61 | |
Medcost
| Facility | $51.29 | $63.10 | $112.20 | |
United
| Facility | $58.88 | $66.07 | $77.62 | |
United
| Professional | $27.54 | $35.48 | $58.88 |