| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $29.17 | $29.17 | $117.93 | |
Aetna
| Professional | $29.17 | $29.17 | $40.69 | |
BCBS
| Facility | $83.20 | $180.42 | $297.05 | |
Cigna
| Facility | $283.95 | $492.61 | $641.35 | |
Medcost
| Facility | $29.17 | $39.14 | $49.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $37.42 | $44.19 | $72.34 |