| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.13 | $70.00 | $84.35 | |
Aetna
| Professional | $17.13 | $19.57 | $39.24 | |
BCBS
| Facility | $7.77 | $26.78 | $160.60 | |
BCBS
| Professional | $3.00 | $3.93 | $25.83 | |
Cigna
| Facility | $39.90 | $63.64 | $132.35 | |
Cigna
| Professional | $11.18 | $16.89 | $61.55 | |
Medcost
| Facility | $7.34 | $19.76 | $40.86 | |
Medcost
| Professional | $7.52 | $24.00 | $33.21 | |
Molina
| Professional | $12.08 | $12.08 | $17.39 | |
United
| Professional | $4.04 | $11.01 | $21.96 |