| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.38 | $31.74 | $60.00 | |
BCBS
| Facility | $44.88 | $131.19 | $233.26 | |
Cigna
| Professional | $42.45 | $42.45 | $42.45 | |
Medcost
| Facility | $21.35 | $30.03 | $38.06 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $17.52 | $22.53 | $31.29 |