| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.26 | $247.45 | $539.44 | |
Aetna
| Professional | $117.26 | $120.26 | $173.88 | |
BCBS
| Professional | $145.00 | $150.33 | $205.58 | |
Cigna
| Facility | $273.20 | $370.32 | $857.11 | |
Cigna
| Professional | $68.31 | $73.34 | $204.21 | |
Medcost
| Facility | $117.26 | $120.26 | $217.98 | |
United
| Professional | $63.14 | $75.17 | $136.88 |