| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.70 | $56.70 | $56.70 | |
Aetna
| Professional | $46.21 | $56.70 | $71.95 | |
BCBS
| Professional | $64.00 | $81.95 | $114.29 | |
Cigna
| Facility | $120.36 | $120.36 | $120.36 | |
Cigna
| Professional | $43.91 | $43.91 | $82.96 | |
Medcost
| Facility | $46.21 | $74.84 | $161.30 | |
Medcost
| Professional | $77.20 | $77.20 | $77.20 | |
United
| Professional | $34.15 | $48.97 | $68.75 |