| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.12 | $18.12 | $38.53 | |
Aetna
| Professional | $15.98 | $23.26 | $38.53 | |
BCBS
| Facility | $154.78 | $293.52 | $474.14 | |
BCBS
| Professional | $16.98 | $30.62 | $49.00 | |
Cigna
| Facility | $53.63 | $53.63 | $53.63 | |
Cigna
| Professional | $17.07 | $30.82 | $60.71 | |
Medcost
| Facility | $18.12 | $32.25 | $53.94 | |
Molina
| Professional | $27.61 | $36.48 | $54.84 | |
United
| Professional | $26.60 | $35.47 | $57.43 |