| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $270.19 | $270.19 | $270.19 | |
Aetna
| Professional | $270.19 | $270.19 | $449.54 | |
BCBS
| Professional | $350.00 | $441.26 | $640.22 | |
Cigna
| Facility | $269.00 | $427.13 | $471.59 | |
Cigna
| Professional | $311.80 | $363.20 | $427.13 | |
Medcost
| Facility | $268.77 | $433.00 | $948.55 | |
Medcost
| Professional | $340.00 | $340.00 | $365.00 | |
United
| Professional | $229.95 | $301.32 | $454.00 |