| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.59 | $89.59 | $89.59 | |
Aetna
| Professional | $84.59 | $89.59 | $149.06 | |
BCBS
| Professional | $120.00 | $147.68 | $213.45 | |
Cigna
| Facility | $42.82 | $120.62 | $133.16 | |
Cigna
| Professional | $88.05 | $120.43 | $120.62 | |
Medcost
| Facility | $89.12 | $144.00 | $314.52 | |
Medcost
| Professional | $112.00 | $112.00 | $127.93 | |
United
| Professional | $67.27 | $99.02 | $149.53 |