| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.24 | $213.24 | $213.24 | |
Aetna
| Professional | $204.60 | $213.24 | $377.25 | |
BCBS
| Professional | $250.00 | $315.18 | $456.68 | |
Cigna
| Facility | $191.86 | $253.20 | $279.55 | |
Cigna
| Professional | $184.84 | $253.20 | $259.06 | |
Medcost
| Facility | $191.71 | $309.00 | $676.62 | |
Medcost
| Professional | $242.00 | $242.00 | $260.00 | |
United
| Professional | $143.29 | $205.34 | $287.83 |