| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.94 | $45.62 | $277.37 | |
Aetna
| Professional | $29.25 | $45.62 | $46.79 | |
BCBS
| Facility | $360.09 | $360.09 | $384.82 | |
BCBS
| Professional | $58.49 | $85.00 | $112.98 | |
Cigna
| Facility | $106.30 | $144.10 | $333.51 | |
Cigna
| Professional | $26.59 | $37.26 | $69.20 | |
Medcost
| Facility | $45.62 | $58.49 | $87.74 | |
Molina
| Professional | $32.17 | $32.17 | $32.17 | |
United
| Professional | $24.57 | $32.17 | $53.26 |