| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.20 | $12.48 | $75.88 | |
Aetna
| Professional | $12.48 | $12.48 | $13.92 | |
BCBS
| Facility | $25.20 | $53.81 | $85.09 | |
BCBS
| Professional | $16.00 | $16.72 | $30.00 | |
Cigna
| Facility | $29.08 | $46.38 | $95.67 | |
Cigna
| Professional | $7.23 | $7.53 | $22.72 | |
Medcost
| Facility | $11.20 | $16.76 | $23.46 | |
Medcost
| Professional | $13.00 | $16.41 | $22.00 | |
Molina
| Professional | $8.80 | $8.80 | $12.67 | |
United
| Professional | $6.72 | $9.60 | $19.20 |