| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $25.65 | $25.65 | $74.47 |
Aetna
| Professional | $169.28 | $190.10 | $210.15 | |
BCBS
| Professional | $196.00 | $211.66 | $286.06 | |
Cigna
| Professional | $162.19 | $222.55 | $373.38 | |
Medcost
| Facility | 26 | $46.83 | $56.00 | $93.96 |
Medcost
| Professional | $307.55 | $307.55 | $307.55 | |
Molina
| Professional | $41.02 | $207.79 | $278.24 | |
United
| Professional | $155.81 | $266.57 | $426.72 |