| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.90 | $50.97 | $309.89 | |
Aetna
| Professional | $50.97 | $52.27 | $67.47 | |
BCBS
| Facility | $402.27 | $402.27 | $429.89 | |
BCBS
| Professional | $65.34 | $75.00 | $105.41 | |
Cigna
| Facility | $118.75 | $160.96 | $372.55 | |
Cigna
| Professional | $27.62 | $30.37 | $185.29 | |
Medcost
| Facility | $50.97 | $59.55 | $106.92 | |
Molina
| Professional | $35.94 | $35.94 | $35.94 | |
United
| Professional | $27.44 | $32.75 | $59.55 |