| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $23.99 | $28.97 | $67.06 | |
Aetna
| Professional | $28.96 | $28.97 | $36.50 | |
BCBS
| Facility | $16.87 | $28.98 | $46.88 | |
BCBS
| Professional | $29.33 | $33.33 | $40.00 | |
Cigna
| Facility | $31.94 | $31.94 | $31.94 | |
Cigna
| Professional | $31.94 | $31.94 | $31.94 | |
Medcost
| Facility | $28.97 | $34.08 | $39.11 | |
Molina
| Professional | $18.92 | $18.92 | $23.65 | |
United
| Professional | $32.38 | $34.08 | $38.86 |