| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $100.26 | $115.29 | $145.50 | |
BCBS
| Professional | $151.00 | $201.60 | $277.35 | |
Cigna
| Facility | $130.68 | $130.68 | $143.84 | |
Cigna
| Professional | $111.08 | $130.68 | $171.51 | |
Medcost
| Facility | $115.29 | $133.96 | $300.01 | |
Medcost
| Professional | $186.71 | $186.71 | $186.71 | |
Molina
| Professional | $9.84 | $73.80 | $131.05 | |
United
| Professional | $71.54 | $103.42 | $168.34 |