| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.95 | $89.20 | $543.91 | |
Aetna
| Professional | $99.40 | $99.40 | $114.47 | |
BCBS
| Facility | $784.52 | $784.52 | $838.39 | |
BCBS
| Professional | $49.13 | $94.50 | $159.29 | |
Cigna
| Facility | $231.59 | $313.93 | $726.58 | |
Cigna
| Professional | $57.85 | $70.55 | $472.66 | |
Medcost
| Facility | $99.40 | $151.93 | $219.18 | |
Molina
| Professional | $70.09 | $70.09 | $70.09 | |
United
| Professional | $53.52 | $76.45 | $127.43 |