| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.17 | $623.75 | $973.51 | |
Aetna
| Professional | $157.46 | $174.06 | $250.44 | |
BCBS
| Facility | $73.33 | $128.03 | $214.92 | |
BCBS
| Professional | $100.00 | $206.34 | $263.35 | |
Cigna
| Facility | $227.29 | $1,033.26 | $1,920.76 | |
Cigna
| Professional | $156.72 | $156.72 | $156.72 | |
Medcost
| Facility | $169.60 | $175.39 | $298.16 | |
Medcost
| Professional | $169.60 | $169.60 | $169.60 | |
Molina
| Professional | $242.91 | $243.04 | $578.37 | |
United
| Professional | $150.19 | $244.81 | $391.70 |