| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $313.58 | $313.58 | $313.58 | |
Aetna
| Professional | $297.64 | $313.58 | $554.79 | |
BCBS
| Professional | $367.00 | $462.70 | $672.18 | |
Cigna
| Facility | $282.18 | $419.04 | $462.65 | |
Cigna
| Professional | $305.89 | $405.80 | $588.92 | |
Medcost
| Facility | $275.93 | $454.00 | $995.05 | |
Medcost
| Professional | $356.00 | $356.00 | $383.00 | |
United
| Professional | $210.73 | $301.61 | $381.02 |