| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.74 | $68.80 | $418.30 | |
Aetna
| Professional | $68.80 | $68.80 | $76.73 | |
BCBS
| Facility | $543.00 | $543.00 | $580.29 | |
BCBS
| Professional | $88.20 | $89.00 | $120.61 | |
Cigna
| Facility | $160.29 | $217.28 | $502.90 | |
Cigna
| Professional | $40.00 | $45.30 | $104.00 | |
Medcost
| Facility | $68.80 | $88.20 | $127.89 | |
Molina
| Professional | $48.51 | $48.51 | $48.51 | |
United
| Professional | $37.04 | $48.51 | $80.31 |