| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.92 | $191.92 | $191.92 | |
Aetna
| Professional | $191.91 | $191.92 | $199.67 | |
BCBS
| Professional | $170.04 | $191.92 | $239.90 | |
Cigna
| Facility | $188.55 | $188.55 | $188.55 | |
Cigna
| Professional | $188.55 | $188.55 | $188.55 | |
Medcost
| Facility | $170.04 | $211.11 | $410.31 | |
United
| Professional | $168.35 | $185.19 | $202.02 |