| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $24.97 | $24.97 | $24.97 | |
BCBS
| Professional | $7.00 | $7.66 | $10.73 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Cigna
| Professional | $0.65 | $0.65 | $0.65 | |
Medcost
| Facility | $24.97 | $26.22 | $44.70 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |