| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $54.95 | $194.98 | $371.54 | |
Aetna
| Professional | $54.95 | $63.10 | $85.11 | |
BCBS
| Facility | $489.78 | $489.78 | $524.81 | |
BCBS
| Professional | $79.43 | $85.11 | $109.65 | |
Cigna
| Facility | $51.29 | $194.98 | $446.68 | |
Medcost
| Facility | $58.88 | $70.79 | $144.54 | |
United
| Professional | $33.11 | $47.86 | $79.43 |