| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.76 | $100.76 | $125.95 | |
Aetna
| Professional | $92.03 | $96.79 | $111.10 | |
BCBS
| Facility | $138.35 | $138.35 | $325.87 | |
BCBS
| Professional | $79.00 | $79.00 | $140.52 | |
Cigna
| Facility | $70.00 | $70.00 | $120.00 | |
Cigna
| Professional | $61.41 | $106.84 | $183.73 | |
Medcost
| Facility | $75.00 | $100.56 | $167.02 | |
Medcost
| Professional | $76.00 | $85.90 | $102.97 | |
Molina
| Professional | $94.22 | $114.44 | $183.61 | |
United
| Professional | $66.84 | $97.28 | $151.29 |