| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $36.65 | $42.03 | $53.19 | |
BCBS
| Professional | $30.00 | $36.92 | $85.54 | |
Cigna
| Facility | $46.35 | $48.02 | $60.14 | |
Cigna
| Professional | $40.82 | $48.02 | $63.02 | |
Medcost
| Facility | $34.10 | $44.13 | $113.10 | |
Medcost
| Professional | $79.98 | $79.98 | $79.98 | |
Molina
| Professional | $3.33 | $26.49 | $47.10 | |
United
| Professional | $28.98 | $38.26 | $59.99 |