| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $32.90 | $36.65 | $222.89 | |
Aetna
| Professional | $32.50 | $36.65 | $40.89 | |
BCBS
| Facility | $289.35 | $289.35 | $309.22 | |
BCBS
| Professional | $47.00 | $85.00 | $109.37 | |
Cigna
| Facility | $85.42 | $115.78 | $267.98 | |
Cigna
| Professional | $21.36 | $29.94 | $99.82 | |
Medcost
| Facility | $36.65 | $47.00 | $80.84 | |
Molina
| Professional | $25.85 | $25.85 | $25.85 | |
United
| Professional | $19.73 | $23.50 | $42.80 |