| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.44 | $136.44 | $136.44 | |
Aetna
| Professional | $130.91 | $136.44 | $241.40 | |
BCBS
| Professional | $160.00 | $196.91 | $292.22 | |
Cigna
| Facility | $122.77 | $190.78 | $210.64 | |
Cigna
| Professional | $139.27 | $165.77 | $190.78 | |
Medcost
| Facility | $122.68 | $198.00 | $432.96 | |
Medcost
| Professional | $155.00 | $155.00 | $167.00 | |
United
| Professional | $91.69 | $131.41 | $175.42 |