| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.82 | $489.78 | $707.95 | |
Aetna
| Professional | $114.82 | $120.23 | $162.18 | |
BCBS
| Professional | $194.98 | $208.93 | $281.84 | |
Cigna
| Facility | $128.82 | $501.19 | $1,122.02 | |
Cigna
| Professional | $97.72 | $97.72 | $97.72 | |
Medcost
| Facility | $117.49 | $144.54 | $275.42 | |
United
| Facility | $147.91 | $177.83 | $239.88 | |
United
| Professional | $63.10 | $89.13 | $147.91 |