| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $16.20 | $17.82 | $22.56 | |
BCBS
| Professional | $20.00 | $25.22 | $39.32 | |
Cigna
| Facility | $17.55 | $21.16 | $22.73 | |
Cigna
| Professional | $17.98 | $21.16 | $27.78 | |
Medcost
| Facility | $14.46 | $19.48 | $41.10 | |
Medcost
| Professional | $28.73 | $28.73 | $28.73 | |
Molina
| Professional | $1.19 | $11.98 | $21.30 | |
United
| Professional | $11.24 | $15.99 | $23.26 |