| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.90 | $312.55 | $584.74 | |
Aetna
| Professional | $45.00 | $109.60 | $333.94 | |
BCBS
| Facility | $843.43 | $843.43 | $901.35 | |
BCBS
| Professional | $90.00 | $137.00 | $178.63 | |
Cigna
| Facility | $248.98 | $337.50 | $781.15 | |
Cigna
| Professional | $61.87 | $63.77 | $161.60 | |
Medcost
| Facility | $106.86 | $137.00 | $198.65 | |
Molina
| Professional | $75.34 | $75.34 | $75.34 | |
United
| Professional | $57.54 | $82.20 | $137.00 |