| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.35 | $188.35 | $188.35 | |
Aetna
| Professional | $180.72 | $203.06 | $333.22 | |
BCBS
| Professional | $198.00 | $249.62 | $403.38 | |
Cigna
| Facility | $108.00 | $211.27 | $233.25 | |
Cigna
| Professional | $154.22 | $165.48 | $228.84 | |
Medcost
| Facility | $169.34 | $263.69 | $597.65 | |
Medcost
| Professional | $219.00 | $219.00 | $219.00 | |
United
| Professional | $126.57 | $180.66 | $228.84 |