| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $35.00 | $35.00 | $35.00 | |
BCBS
| Professional | $28.00 | $30.63 | $42.90 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $46.74 | $46.74 | $46.74 | |
Medcost
| Facility | $35.00 | $35.00 | $59.50 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |