| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.31 | $255.61 | $648.54 | |
Aetna
| Professional | $52.18 | $52.57 | $57.75 | |
BCBS
| Facility | $444.44 | $444.44 | $474.95 | |
BCBS
| Professional | $72.19 | $73.00 | $101.04 | |
Cigna
| Facility | $131.19 | $209.26 | $411.58 | |
Cigna
| Professional | $32.65 | $42.23 | $164.65 | |
Medcost
| Facility | $50.53 | $64.97 | $75.80 | |
Medcost
| Professional | $72.19 | $72.19 | $72.19 | |
United
| Professional | $30.32 | $43.31 | $86.63 |