| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.59 | $50.59 | $50.59 | |
Aetna
| Professional | $49.09 | $49.09 | $50.59 | |
BCBS
| Facility | $28.37 | $60.81 | $102.24 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Medcost
| Facility | $43.00 | $50.59 | $107.25 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $50.03 | $69.55 | $118.98 |