| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.38 | $169.14 | $365.50 | |
Aetna
| Professional | $11.50 | $12.84 | $13.05 | |
BCBS
| Facility | $36.95 | $96.72 | $177.59 | |
BCBS
| Professional | $36.00 | $40.00 | $51.92 | |
Cigna
| Facility | $26.14 | $41.70 | $86.92 | |
Cigna
| Professional | $7.23 | $9.02 | $20.65 | |
Medcost
| Facility | $11.22 | $15.15 | $28.14 | |
Medcost
| Professional | $16.00 | $20.60 | $27.00 | |
Molina
| Professional | $7.91 | $7.91 | $11.39 | |
United
| Professional | $6.04 | $8.63 | $29.82 |