| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $48.96 | $132.69 | $280.70 | |
Cigna
| Facility | $64.81 | $64.81 | $64.81 | |
Medcost
| Facility | $40.60 | $40.60 | $40.60 | |
Medcost
| Professional | $66.83 | $66.83 | $66.83 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |