| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.57 | $108.54 | $135.68 | |
Aetna
| Professional | $30.57 | $30.57 | $38.51 | |
BCBS
| Facility | $16.78 | $29.99 | $50.21 | |
BCBS
| Professional | $30.99 | $35.22 | $42.26 | |
Cigna
| Facility | $33.71 | $33.71 | $33.71 | |
Cigna
| Professional | $33.71 | $33.71 | $33.71 | |
Medcost
| Facility | $30.57 | $35.97 | $41.27 | |
Molina
| Professional | $20.75 | $30.00 | $36.87 | |
United
| Professional | $34.17 | $35.97 | $39.29 |