| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.28 | $150.74 | $916.50 | |
Aetna
| Professional | $150.74 | $150.74 | $168.13 | |
BCBS
| Professional | $193.25 | $197.00 | $264.27 | |
Cigna
| Facility | $351.21 | $476.06 | $1,101.84 | |
Cigna
| Professional | $87.69 | $94.27 | $262.48 | |
Medcost
| Facility | $150.74 | $154.60 | $280.20 | |
United
| Professional | $81.17 | $106.29 | $175.98 |