| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.08 | $40.08 | $48.97 | |
Aetna
| Professional | $37.09 | $46.72 | $81.70 | |
BCBS
| Facility | $215.96 | $444.36 | $736.63 | |
BCBS
| Professional | $37.40 | $49.00 | $75.31 | |
Cigna
| Facility | $84.88 | $84.88 | $84.88 | |
Cigna
| Professional | $42.53 | $60.33 | $91.60 | |
Medcost
| Facility | $40.08 | $53.87 | $89.40 | |
Molina
| Professional | $56.25 | $74.75 | $112.13 | |
United
| Professional | $46.87 | $55.42 | $88.71 |