| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $117.49 | $125.89 | |
Aetna
| Professional | $89.13 | $100.00 | $125.89 | |
BCBS
| Facility | $138.04 | $138.04 | $338.84 | |
BCBS
| Professional | $79.43 | $79.43 | $125.89 | |
Cigna
| Facility | $70.79 | $70.79 | $120.23 | |
Cigna
| Professional | $67.61 | $107.15 | $181.97 | |
Medcost
| Facility | $83.18 | $107.15 | $181.97 | |
Medcost
| Professional | $102.33 | $102.33 | $102.33 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $97.72 | $97.72 | $107.15 | |
United
| Professional | $63.10 | $91.20 | $134.90 |