| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $45.03 | $45.03 | $45.03 |
Aetna
| Professional | $98.25 | $113.01 | $225.55 | |
BCBS
| Professional | $106.73 | $527.00 | $821.95 | |
Cigna
| Professional | $132.15 | $221.34 | $652.00 | |
Medcost
| Facility | 26 | $80.72 | $95.00 | $162.55 |
Medcost
| Professional | $431.74 | $431.74 | $431.74 | |
Molina
| Professional | $44.14 | $80.55 | $130.74 | |
United
| Professional | $123.18 | $169.41 | $515.26 |