| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.95 | $69.18 | $134.90 | |
Aetna
| Professional | $20.89 | $21.88 | $30.90 | |
BCBS
| Facility | $194.98 | $194.98 | $208.93 | |
BCBS
| Professional | $28.18 | $30.20 | $39.81 | |
Cigna
| Facility | $18.20 | $72.44 | $162.18 | |
Cigna
| Professional | $14.79 | $18.20 | $36.31 | |
Medcost
| Facility | $21.38 | $26.30 | $43.65 | |
United
| Facility | $25.70 | $28.18 | $33.88 | |
United
| Professional | $11.75 | $17.38 | $34.67 |