| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $18.73 | $18.73 | $439.82 | |
Aetna
| Professional | $17.98 | $20.00 | $458.50 | |
BCBS
| Facility | $152.88 | $343.07 | $613.66 | |
BCBS
| Professional | $16.75 | $203.29 | $437.74 | |
Cigna
| Professional | $14.13 | $89.33 | $376.11 | |
Medcost
| Facility | $17.98 | $134.94 | $493.26 | |
Molina
| Professional | $305.51 | $386.99 | $524.39 | |
United
| Professional | $75.95 | $247.40 | $329.23 |