| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.50 | $17.50 | $30.15 | |
Aetna
| Professional | $19.07 | $30.15 | $33.01 | |
BCBS
| Professional | $22.00 | $27.75 | $40.01 | |
Cigna
| Facility | $18.54 | $26.66 | $32.93 | |
Cigna
| Professional | $22.51 | $22.66 | $31.36 | |
Medcost
| Facility | $23.35 | $32.46 | $59.22 | |
Medcost
| Professional | $24.00 | $24.00 | $25.00 | |
Molina
| Professional | $20.40 | $20.40 | $3,000.00 | |
United
| Professional | $12.54 | $18.64 | $24.29 |