| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.91 | $28.91 | $28.91 |
Aetna
| Professional | $138.94 | $176.51 | $204.33 | |
BCBS
| Professional | $96.00 | $136.38 | $200.72 | |
Cigna
| Professional | $71.56 | $150.90 | $300.24 | |
Medcost
| Facility | 26 | $28.31 | $36.00 | $60.34 |
Molina
| Professional | $45.41 | $155.20 | $248.77 | |
United
| Professional | $98.93 | $142.28 | $299.73 |