| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $85.16 | $85.16 | $107.78 | |
BCBS
| Professional | $105.00 | $132.38 | $185.19 | |
Cigna
| Facility | $97.12 | $100.30 | $120.98 | |
Cigna
| Professional | $85.26 | $100.30 | $131.63 | |
Medcost
| Facility | $69.08 | $89.42 | $225.52 | |
Medcost
| Professional | $159.47 | $159.47 | $159.47 | |
Molina
| Professional | $6.64 | $54.05 | $96.09 | |
United
| Professional | $56.75 | $76.39 | $126.60 |