| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.31 | $46.31 | $46.31 |
Aetna
| Professional | $56.07 | $62.66 | $87.14 | |
Aetna
| Professional | 26 | $38.90 | $43.88 | $59.52 |
BCBS
| Professional | $59.68 | $62.07 | $82.36 | |
BCBS
| Professional | 26 | $41.70 | $43.79 | $57.55 |
Cigna
| Professional | $67.09 | $79.05 | $122.22 | |
Cigna
| Professional | 26 | $48.46 | $56.68 | $86.45 |
Medcost
| Facility | 26 | $51.94 | $54.04 | $114.83 |
Molina
| Professional | $30.05 | $52.59 | $92.14 | |
United
| Professional | $57.96 | $69.53 | $122.22 | |
United
| Professional | 26 | $41.57 | $48.32 | $85.20 |