| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.43 | $95.43 | $95.43 | |
Aetna
| Professional | $83.90 | $95.43 | $168.82 | |
BCBS
| Professional | $112.00 | $141.19 | $204.37 | |
Cigna
| Facility | $85.87 | $138.33 | $152.72 | |
Cigna
| Professional | $100.98 | $100.98 | $137.82 | |
Medcost
| Facility | $85.80 | $139.00 | $302.79 | |
Medcost
| Professional | $108.00 | $108.00 | $116.00 | |
United
| Professional | $65.14 | $95.33 | $122.04 |