| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.09 | $52.09 | $210.60 | |
Aetna
| Professional | $44.54 | $52.09 | $72.90 | |
BCBS
| Facility | $39.93 | $72.38 | $127.53 | |
BCBS
| Professional | $54.00 | $63.53 | $76.23 | |
Cigna
| Facility | $54.00 | $54.00 | $54.00 | |
Cigna
| Professional | $54.00 | $54.00 | $54.00 | |
Medcost
| Facility | $43.30 | $57.30 | $70.31 | |
Medcost
| Professional | $62.81 | $62.81 | $62.81 | |
United
| Professional | $52.94 | $52.94 | $59.29 |