| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.56 | $27.37 | $166.41 | |
Aetna
| Professional | $27.37 | $27.37 | $30.53 | |
BCBS
| Facility | $52.64 | $119.81 | $217.42 | |
BCBS
| Professional | $35.00 | $40.00 | $64.00 | |
Cigna
| Facility | $63.78 | $86.45 | $200.09 | |
Cigna
| Professional | $17.75 | $22.80 | $65.54 | |
Medcost
| Facility | $27.37 | $36.95 | $60.00 | |
Molina
| Professional | $19.30 | $19.30 | $19.30 | |
United
| Professional | $14.74 | $23.88 | $35.09 |