| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $74.72 | $236.44 | $408.87 | |
Aetna
| Professional | $74.72 | $99.39 | $343.85 | |
BCBS
| Facility | $112.86 | $200.67 | $630.29 | |
BCBS
| Professional | $133.00 | $133.00 | $186.93 | |
Cigna
| Facility | $97.76 | $236.00 | $546.23 | |
Cigna
| Professional | $44.47 | $60.95 | $170.78 | |
Medcost
| Facility | $74.72 | $112.52 | $144.62 | |
United
| Professional | $40.24 | $57.90 | $95.80 |