| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $302.00 | $588.84 | |
Aetna
| Professional | $93.33 | $107.15 | $223.87 | |
BCBS
| Facility | $851.14 | $851.14 | $912.01 | |
BCBS
| Professional | $123.03 | $134.90 | $190.55 | |
Cigna
| Facility | $81.28 | $316.23 | $707.95 | |
Cigna
| Professional | $56.23 | $77.62 | $128.82 | |
Medcost
| Facility | $95.50 | $114.82 | $251.19 | |
United
| Facility | $112.20 | $123.03 | $147.91 | |
United
| Professional | $52.48 | $85.11 | $144.54 |