| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.95 | $46.95 | $46.95 |
Aetna
| Professional | $174.46 | $174.46 | $190.85 | |
BCBS
| Professional | $188.27 | $337.00 | $441.91 | |
Cigna
| Professional | $250.53 | $304.58 | $510.95 | |
Medcost
| Facility | 26 | $79.00 | $101.00 | $183.24 |
Medcost
| Professional | $307.55 | $307.55 | $307.55 | |
Molina
| Professional | $41.02 | $176.80 | $237.54 | |
United
| Professional | $210.15 | $300.80 | $461.79 |