| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.38 | $99.38 | $99.38 | |
Aetna
| Professional | $90.33 | $99.38 | $175.81 | |
BCBS
| Professional | $117.00 | $147.51 | $213.02 | |
Cigna
| Facility | $89.42 | $121.82 | $134.50 | |
Cigna
| Professional | $88.93 | $120.73 | $121.82 | |
Medcost
| Facility | $87.24 | $144.00 | $315.33 | |
Medcost
| Professional | $113.00 | $113.00 | $121.00 | |
United
| Professional | $66.78 | $95.36 | $120.71 |