| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $63.06 | $77.77 | $98.43 | |
BCBS
| Professional | $112.00 | $144.00 | $189.39 | |
Cigna
| Facility | $81.17 | $81.17 | $114.51 | |
Cigna
| Professional | $68.98 | $81.17 | $106.54 | |
Medcost
| Facility | $68.67 | $81.66 | $223.47 | |
Medcost
| Professional | $158.04 | $158.04 | $158.04 | |
Molina
| Professional | $6.58 | $47.59 | $84.60 | |
United
| Professional | $49.96 | $69.78 | $118.53 |