| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.20 | $91.70 | $199.91 | |
Aetna
| Professional | $9.58 | $10.87 | $21.58 | |
BCBS
| Facility | $20.99 | $53.97 | $163.09 | |
BCBS
| Professional | $16.50 | $20.00 | $26.09 | |
Cigna
| Facility | $21.78 | $34.74 | $73.09 | |
Cigna
| Professional | $6.08 | $9.22 | $17.04 | |
Medcost
| Facility | $9.34 | $13.85 | $23.46 | |
Medcost
| Professional | $13.00 | $16.41 | $22.00 | |
Molina
| Professional | $6.59 | $6.59 | $9.49 | |
United
| Professional | $5.03 | $8.16 | $16.76 |