| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.82 | $416.87 | $1,023.29 | |
Aetna
| Professional | $144.54 | $186.21 | $331.13 | |
BCBS
| Facility | $28.84 | $40.74 | $1,548.82 | |
BCBS
| Professional | $154.88 | $218.78 | $275.42 | |
Cigna
| Facility | $141.25 | $549.54 | $1,230.27 | |
Cigna
| Professional | $107.15 | $144.54 | $398.11 | |
Medcost
| Facility | $169.82 | $218.78 | $436.52 | |
United
| Facility | $194.98 | $218.78 | $263.03 | |
United
| Professional | $91.20 | $144.54 | $251.19 |