| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $74.58 | $82.06 | $103.85 | |
BCBS
| Professional | $103.00 | $132.00 | $193.41 | |
Cigna
| Facility | $83.87 | $94.65 | $114.25 | |
Cigna
| Professional | $80.45 | $94.65 | $124.23 | |
Medcost
| Facility | $70.80 | $103.85 | $204.83 | |
Medcost
| Professional | $124.00 | $124.00 | $124.00 | |
Molina
| Professional | $9.48 | $71.13 | $94.84 | |
United
| Professional | $55.35 | $70.58 | $111.34 |