| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.25 | $684.77 | $684.77 | |
Aetna
| Professional | $14.82 | $14.82 | $16.26 | |
BCBS
| Professional | $8.05 | $19.04 | $20.83 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $4.38 | $4.38 | $4.38 | |
Medcost
| Facility | $12.00 | $14.82 | $20.75 | |
Medcost
| Professional | $20.00 | $20.00 | $20.00 | |
United
| Professional | $3.75 | $5.11 | $7.45 |