| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.58 | $96.47 | $586.54 | |
Aetna
| Professional | $96.47 | $99.82 | $219.24 | |
BCBS
| Facility | $846.02 | $846.02 | $904.12 | |
BCBS
| Professional | $123.68 | $135.00 | $179.44 | |
Cigna
| Facility | $224.77 | $304.68 | $705.18 | |
Cigna
| Professional | $56.15 | $78.37 | $479.22 | |
Medcost
| Facility | $96.47 | $168.73 | $212.73 | |
Molina
| Professional | $68.02 | $68.02 | $68.02 | |
United
| Facility | $111.31 | $111.31 | $148.41 | |
United
| Professional | $51.95 | $84.37 | $123.68 |