| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.90 | $478.63 | $912.01 | |
Aetna
| Professional | $134.90 | $154.88 | $213.80 | |
BCBS
| Professional | $190.55 | $204.17 | $269.15 | |
Cigna
| Facility | $125.89 | $489.78 | $1,096.48 | |
Cigna
| Professional | $87.10 | $93.33 | $263.03 | |
Medcost
| Facility | $134.90 | $173.78 | $331.13 | |
United
| Facility | $173.78 | $194.98 | $234.42 | |
United
| Professional | $81.28 | $114.82 | $194.98 |