| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.05 | $53.66 | $67.91 | |
BCBS
| Professional | $74.00 | $90.00 | $131.69 | |
Cigna
| Facility | $54.08 | $60.46 | $80.81 | |
Cigna
| Professional | $51.39 | $60.46 | $80.95 | |
Medcost
| Facility | $50.59 | $67.91 | $146.37 | |
Medcost
| Professional | $89.00 | $89.00 | $89.00 | |
Molina
| Professional | $5.97 | $44.83 | $59.77 | |
United
| Professional | $35.29 | $50.65 | $77.63 |