| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.76 | $152.25 | $267.95 | |
Aetna
| Professional | $51.13 | $81.81 | $140.43 | |
BCBS
| Facility | $629.55 | $629.55 | $672.80 | |
BCBS
| Professional | $102.26 | $183.00 | $235.49 | |
Cigna
| Facility | $185.85 | $251.92 | $616.34 | |
Cigna
| Professional | $46.46 | $65.05 | $225.77 | |
Medcost
| Facility | $79.76 | $102.26 | $153.38 | |
Molina
| Professional | $56.24 | $56.24 | $56.24 | |
United
| Professional | $42.95 | $56.24 | $93.12 |