| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $28.98 | $32.13 | $40.65 | |
BCBS
| Professional | $35.00 | $43.07 | $62.87 | |
Cigna
| Facility | $35.42 | $37.90 | $37.90 | |
Cigna
| Professional | $32.22 | $37.90 | $49.76 | |
Medcost
| Facility | $26.06 | $34.86 | $74.80 | |
Medcost
| Professional | $52.91 | $52.91 | $52.91 | |
Molina
| Professional | $2.20 | $21.43 | $38.11 | |
United
| Professional | $20.22 | $28.82 | $42.33 |