| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $44.18 | $56.75 | $71.83 | |
BCBS
| Professional | $84.00 | $117.56 | $141.47 | |
Cigna
| Facility | $60.80 | $60.80 | $83.92 | |
Cigna
| Professional | $51.68 | $60.80 | $81.41 | |
Medcost
| Facility | $55.90 | $71.83 | $166.54 | |
Medcost
| Professional | $101.00 | $101.00 | $101.00 | |
Molina
| Professional | $34.37 | $45.83 | $61.11 | |
United
| Professional | $36.09 | $50.92 | $88.34 |