| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.33 | $331.13 | $630.96 | |
Aetna
| Professional | $93.33 | $107.15 | $147.91 | |
BCBS
| Professional | $134.90 | $144.54 | $186.21 | |
Cigna
| Facility | $87.10 | $331.13 | $758.58 | |
Medcost
| Facility | $100.00 | $120.23 | $229.09 | |
United
| Facility | $120.23 | $134.90 | $162.18 | |
United
| Professional | $56.23 | $81.28 | $134.90 |