| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $104.71 | $208.93 | $707.95 | |
Aetna
| Professional | $100.00 | $120.23 | $165.96 | |
BCBS
| Facility | $257.04 | $281.84 | $933.25 | |
BCBS
| Professional | $144.54 | $162.18 | $208.93 | |
Cigna
| Facility | $97.72 | $380.19 | $851.14 | |
Cigna
| Professional | $67.61 | $69.18 | $158.49 | |
Medcost
| Facility | $104.71 | $134.90 | $257.04 | |
United
| Facility | $134.90 | $151.36 | $181.97 | |
United
| Professional | $63.10 | $91.20 | $151.36 |