| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.24 | $53.76 | $326.86 | |
Aetna
| Professional | $53.76 | $53.76 | $59.96 | |
BCBS
| Facility | $459.70 | $459.70 | $491.27 | |
BCBS
| Professional | $68.92 | $68.92 | $94.25 | |
Cigna
| Facility | $45.93 | $169.79 | $392.99 | |
Cigna
| Professional | $34.02 | $50.32 | $184.68 | |
Medcost
| Facility | $48.24 | $62.03 | $76.62 | |
Medcost
| Professional | $81.03 | $81.03 | $81.03 | |
Molina
| Professional | $37.90 | $37.90 | $54.58 | |
United
| Professional | $28.95 | $41.35 | $82.70 |