| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $28.03 | $28.03 | $28.03 |
Aetna
| Professional | $122.74 | $153.66 | $174.31 | |
BCBS
| Professional | $96.00 | $125.70 | $200.72 | |
Cigna
| Professional | $71.98 | $143.15 | $262.33 | |
Medcost
| Facility | 26 | $28.08 | $36.61 | $58.78 |
Molina
| Professional | $45.41 | $134.29 | $228.94 | |
United
| Professional | $95.78 | $135.69 | $232.50 |