| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $128.82 | $457.09 | $870.96 | |
Aetna
| Professional | $128.82 | $147.91 | $204.17 | |
BCBS
| Professional | $186.21 | $199.53 | $257.04 | |
Cigna
| Facility | $120.23 | $467.74 | $1,047.13 | |
Cigna
| Professional | $83.18 | $87.10 | $245.47 | |
Medcost
| Facility | $128.82 | $165.96 | $316.23 | |
United
| Facility | $165.96 | $186.21 | $223.87 | |
United
| Professional | $77.62 | $112.20 | $186.21 |