| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.90 | $77.62 | $263.03 | |
Aetna
| Professional | $41.69 | $43.65 | $69.18 | |
BCBS
| Facility | $338.84 | $338.84 | $363.08 | |
BCBS
| Professional | $54.95 | $58.88 | $77.62 | |
Cigna
| Facility | $36.31 | $141.25 | $316.23 | |
Cigna
| Professional | $25.12 | $38.02 | $125.89 | |
Medcost
| Facility | $38.90 | $52.48 | $158.49 | |
United
| Facility | $50.12 | $54.95 | $66.07 | |
United
| Professional | $23.44 | $33.11 | $61.66 |