| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $262.82 | $262.82 | $262.82 | |
Aetna
| Professional | $252.17 | $262.82 | $464.97 | |
BCBS
| Professional | $308.00 | $388.31 | $562.87 | |
Cigna
| Facility | $236.51 | $387.54 | $427.88 | |
Cigna
| Professional | $282.89 | $319.33 | $387.54 | |
Medcost
| Facility | $236.30 | $381.00 | $833.94 | |
Medcost
| Professional | $299.00 | $299.00 | $321.00 | |
United
| Professional | $176.61 | $252.10 | $319.33 |