| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.66 | $54.23 | $329.72 | |
Aetna
| Professional | $54.23 | $55.62 | $71.79 | |
BCBS
| Facility | $427.99 | $427.99 | $457.39 | |
BCBS
| Professional | $69.52 | $69.52 | $95.07 | |
Cigna
| Facility | $126.35 | $201.55 | $423.72 | |
Cigna
| Professional | $31.72 | $50.79 | $158.43 | |
Medcost
| Facility | $48.66 | $62.57 | $245.00 | |
Medcost
| Professional | $69.52 | $69.52 | $69.52 | |
Molina
| Professional | $38.24 | $38.24 | $55.06 | |
United
| Professional | $29.20 | $41.71 | $83.42 |