| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.78 | $136.81 | $831.81 | |
Aetna
| Professional | $136.81 | $136.81 | $152.60 | |
BCBS
| Professional | $92.25 | $144.00 | $239.86 | |
Cigna
| Facility | $318.77 | $432.10 | $1,000.10 | |
Cigna
| Professional | $79.69 | $85.59 | $238.32 | |
Medcost
| Facility | $136.81 | $140.32 | $254.33 | |
United
| Facility | $157.86 | $175.40 | $175.40 | |
United
| Professional | $73.67 | $100.04 | $159.72 |