| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.97 | $144.97 | $144.97 | |
Aetna
| Professional | $139.10 | $144.97 | $256.48 | |
BCBS
| Professional | $175.00 | $220.63 | $311.27 | |
Cigna
| Facility | $181.86 | $181.86 | $200.79 | |
Cigna
| Professional | $132.76 | $176.13 | $181.86 | |
Medcost
| Facility | $130.34 | $205.48 | $460.00 | |
Medcost
| Professional | $205.49 | $205.49 | $205.49 | |
United
| Facility | $98.42 | $169.40 | $218.77 | |
United
| Professional | $98.42 | $145.19 | $193.60 |