| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $34.04 | $158.90 | $171.15 | |
Aetna
| Professional | $34.04 | $43.65 | $46.68 | |
BCBS
| Facility | $298.58 | $298.58 | $319.10 | |
BCBS
| Professional | $43.65 | $60.00 | $90.38 | |
Cigna
| Facility | $79.31 | $107.52 | $248.86 | |
Cigna
| Professional | $19.85 | $27.62 | $168.61 | |
Medcost
| Facility | $34.04 | $59.55 | $79.79 | |
Molina
| Professional | $24.01 | $24.01 | $24.01 | |
United
| Professional | $18.32 | $29.70 | $44.66 |