| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $338.84 | $645.65 | |
Aetna
| Professional | $95.50 | $109.65 | $151.36 | |
BCBS
| Facility | $851.14 | $851.14 | $891.25 | |
BCBS
| Professional | $89.13 | $138.04 | $169.82 | |
Cigna
| Facility | $89.13 | $346.74 | $776.25 | |
Cigna
| Professional | $61.66 | $64.57 | $181.97 | |
Medcost
| Facility | $95.50 | $123.03 | $234.42 | |
United
| Facility | $123.03 | $138.04 | $165.96 | |
United
| Professional | $57.54 | $81.28 | $138.04 |