| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.31 | $81.31 | $95.09 | |
Aetna
| Professional | $57.52 | $73.45 | $100.35 | |
BCBS
| Professional | $87.00 | $87.00 | $90.00 | |
Cigna
| Professional | $58.00 | $84.00 | $120.98 | |
Medcost
| Facility | $64.97 | $84.80 | $128.53 | |
Molina
| Professional | $80.97 | $111.29 | $178.53 | |
United
| Professional | $72.11 | $88.84 | $142.11 |