| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $23.38 | $23.38 | $29.59 | |
BCBS
| Professional | $28.50 | $36.00 | $52.75 | |
Cigna
| Facility | $24.29 | $27.09 | $30.07 | |
Cigna
| Professional | $23.03 | $27.09 | $35.54 | |
Medcost
| Facility | $19.45 | $28.06 | $56.28 | |
Medcost
| Professional | $34.29 | $34.29 | $34.29 | |
Molina
| Professional | $2.36 | $20.54 | $27.39 | |
United
| Professional | $13.42 | $20.56 | $28.41 |