| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $20.89 | $20.89 | $20.89 | |
Aetna
| Professional | $10.96 | $16.98 | $22.91 | |
BCBS
| Professional | $27.54 | $28.84 | $37.15 | |
Cigna
| Facility | $42.66 | $42.66 | $42.66 | |
Cigna
| Professional | $10.96 | $12.02 | $12.02 | |
Medcost
| Professional | $19.05 | $19.05 | $19.05 | |
Medcost
| Facility | $16.60 | $25.12 | $46.77 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $9.55 | $13.18 | $17.38 |