| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.15 | $154.88 | $489.78 | |
Aetna
| Professional | $114.82 | $131.83 | $194.98 | |
BCBS
| Facility | $954.99 | $954.99 | $1,000.00 | |
BCBS
| Professional | $58.88 | $107.15 | $190.55 | |
Cigna
| Facility | $100.00 | $389.05 | $870.96 | |
Cigna
| Professional | $69.18 | $89.13 | $346.74 | |
Medcost
| Facility | $107.15 | $138.04 | $204.17 | |
United
| Facility | $138.04 | $154.88 | $186.21 | |
United
| Professional | $64.57 | $91.20 | $169.82 |