| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.43 | $281.84 | $537.03 | |
Aetna
| Professional | $81.28 | $91.20 | $125.89 | |
BCBS
| Facility | $707.95 | $707.95 | $758.58 | |
BCBS
| Professional | $114.82 | $123.03 | $158.49 | |
Cigna
| Facility | $74.13 | $288.40 | $645.65 | |
Cigna
| Professional | $67.61 | $131.83 | $165.96 | |
Medcost
| Facility | $85.11 | $102.33 | $208.93 | |
United
| Facility | $102.33 | $114.82 | $138.04 | |
United
| Professional | $47.86 | $69.18 | $125.89 |