| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.29 | $42.24 | $132.28 | |
Aetna
| Professional | $45.22 | $45.23 | $67.50 | |
BCBS
| Facility | $20.39 | $34.38 | $49.95 | |
BCBS
| Professional | $36.00 | $36.00 | $50.60 | |
Cigna
| Facility | $30.85 | $71.64 | $201.41 | |
Cigna
| Professional | $17.67 | $40.60 | $50.75 | |
Medcost
| Facility | $35.33 | $42.33 | $54.28 | |
Medcost
| Professional | $35.33 | $42.10 | $42.10 | |
Molina
| Professional | $19.43 | $19.43 | $27.98 | |
United
| Professional | $17.67 | $24.55 | $49.10 |