| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $19.57 | $19.57 | $19.57 |
Aetna
| Professional | $65.61 | $75.69 | $130.56 | |
BCBS
| Professional | $67.00 | $76.61 | $116.14 | |
Cigna
| Professional | $62.28 | $98.40 | $196.73 | |
Medcost
| Facility | 26 | $31.00 | $40.00 | $69.23 |
Medcost
| Professional | $294.33 | $294.33 | $294.33 | |
Molina
| Professional | $50.97 | $69.55 | $102.82 | |
United
| Professional | $75.39 | $97.86 | $176.23 |