| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.52 | $30.66 | $186.41 | |
Aetna
| Professional | $30.66 | $35.75 | $39.31 | |
BCBS
| Facility | $242.01 | $242.01 | $258.63 | |
BCBS
| Professional | $39.31 | $85.00 | $109.37 | |
Cigna
| Facility | $71.44 | $96.83 | $224.12 | |
Cigna
| Professional | $17.85 | $24.98 | $54.02 | |
Medcost
| Facility | $30.66 | $39.31 | $67.61 | |
Molina
| Professional | $21.62 | $21.62 | $21.62 | |
United
| Professional | $16.51 | $22.42 | $39.31 |