| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.92 | $40.02 | $243.32 | |
Aetna
| Professional | $20.00 | $40.02 | $44.64 | |
BCBS
| Facility | $66.18 | $117.67 | $375.15 | |
BCBS
| Professional | $51.31 | $78.00 | $103.68 | |
Cigna
| Facility | $93.25 | $126.40 | $292.55 | |
Cigna
| Professional | $25.97 | $36.24 | $103.34 | |
Medcost
| Facility | $40.02 | $66.70 | $85.53 | |
United
| Professional | $21.55 | $34.92 | $54.17 |