| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $36.27 | $160.53 | $529.72 | |
Aetna
| Professional | $13.47 | $13.47 | $16.70 | |
BCBS
| Facility | $50.28 | $50.28 | $50.28 | |
BCBS
| Professional | $17.27 | $25.00 | $32.78 | |
Cigna
| Facility | $31.40 | $50.09 | $98.51 | |
Cigna
| Professional | $7.81 | $9.67 | $39.13 | |
Medcost
| Facility | $12.09 | $15.54 | $18.13 | |
Medcost
| Professional | $17.27 | $17.27 | $17.27 | |
United
| Professional | $7.25 | $10.36 | $17.27 |