| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.30 | $79.30 | $79.30 | |
Aetna
| Professional | $74.14 | $79.30 | $140.29 | |
BCBS
| Professional | $84.00 | $105.91 | $169.84 | |
Cigna
| Facility | $32.40 | $88.96 | $98.22 | |
Cigna
| Professional | $64.94 | $88.96 | $96.35 | |
Medcost
| Facility | $71.29 | $120.39 | $251.63 | |
Medcost
| Professional | $92.00 | $92.00 | $92.00 | |
United
| Professional | $53.28 | $76.36 | $96.35 |