| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $30.61 | $35.84 | $45.23 | |
BCBS
| Professional | $30.00 | $36.92 | $72.67 | |
Cigna
| Facility | $39.01 | $39.01 | $51.30 | |
Cigna
| Professional | $33.15 | $39.01 | $51.20 | |
Medcost
| Facility | $29.07 | $37.63 | $100.21 | |
Medcost
| Professional | $70.20 | $70.20 | $70.20 | |
Molina
| Professional | $2.95 | $22.21 | $39.49 | |
United
| Professional | $21.65 | $32.15 | $53.15 |