| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.08 | $36.86 | $224.11 | |
Aetna
| Professional | $32.50 | $35.75 | $39.31 | |
BCBS
| Facility | $71.06 | $126.36 | $310.87 | |
BCBS
| Professional | $47.25 | $85.00 | $109.37 | |
Cigna
| Facility | $85.87 | $116.39 | $280.36 | |
Cigna
| Professional | $21.41 | $29.94 | $182.56 | |
Medcost
| Facility | $36.86 | $47.25 | $83.30 | |
Molina
| Professional | $25.99 | $25.99 | $25.99 | |
United
| Professional | $19.85 | $28.35 | $43.03 |