| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.25 | $16.32 | $99.29 | |
Aetna
| Professional | $16.32 | $16.32 | $18.85 | |
BCBS
| Facility | $50.69 | $137.75 | $237.23 | |
BCBS
| Professional | $20.94 | $30.00 | $47.00 | |
Cigna
| Facility | $38.04 | $60.70 | $126.43 | |
Cigna
| Professional | $9.52 | $11.78 | $30.46 | |
Medcost
| Facility | $15.79 | $21.99 | $36.83 | |
Medcost
| Professional | $21.00 | $26.97 | $35.00 | |
Molina
| Professional | $11.52 | $11.52 | $16.57 | |
United
| Professional | $8.78 | $12.60 | $26.31 |