| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.92 | $31.92 | $129.05 | |
Aetna
| Professional | $31.92 | $31.92 | $152.03 | |
BCBS
| Facility | $61.76 | $133.94 | $220.53 | |
Cigna
| Facility | $264.39 | $355.26 | $530.10 | |
Medcost
| Facility | $31.92 | $146.26 | $148.59 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $54.86 | $163.79 | $270.44 |