| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.87 | $66.87 | $265.18 | |
Aetna
| Professional | $54.01 | $66.87 | $101.20 | |
BCBS
| Facility | $55.99 | $113.87 | $191.31 | |
BCBS
| Professional | $63.68 | $108.96 | $146.29 | |
Cigna
| Facility | $60.08 | $63.68 | $63.68 | |
Cigna
| Professional | $63.68 | $63.68 | $63.68 | |
Medcost
| Facility | $44.14 | $73.56 | $147.13 | |
Medcost
| Professional | $88.90 | $88.90 | $88.90 | |
United
| Professional | $63.68 | $63.68 | $71.31 |