| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.25 | $56.25 | $56.25 | |
Aetna
| Professional | $53.29 | $56.25 | $59.96 | |
BCBS
| Facility | $28.37 | $60.33 | $102.24 | |
Cigna
| Facility | $33.06 | $33.06 | $33.06 | |
Cigna
| Professional | $80.67 | $80.67 | $101.44 | |
Medcost
| Facility | $53.29 | $56.03 | $75.94 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $47.70 | $60.54 | $105.75 |