| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $11.02 | $121.10 | $272.16 | |
Aetna
| Professional | $11.02 | $11.10 | $21.19 | |
BCBS
| Facility | $17.72 | $35.76 | $86.99 | |
BCBS
| Professional | $8.00 | $10.00 | $30.00 | |
Cigna
| Facility | $25.67 | $40.94 | $84.94 | |
Cigna
| Professional | $6.41 | $9.22 | $20.65 | |
Medcost
| Facility | $10.60 | $14.84 | $23.76 | |
Medcost
| Professional | $13.00 | $16.41 | $22.00 | |
Molina
| Professional | $7.77 | $7.77 | $11.19 | |
United
| Professional | $5.93 | $8.48 | $16.96 |