| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $33.89 | $41.12 | $52.05 | |
BCBS
| Professional | $55.00 | $69.34 | $96.71 | |
Cigna
| Facility | $45.25 | $46.18 | $60.89 | |
Cigna
| Professional | $39.25 | $46.18 | $60.61 | |
Medcost
| Facility | $33.36 | $43.18 | $113.99 | |
Medcost
| Professional | $80.59 | $80.59 | $80.59 | |
Molina
| Professional | $3.35 | $25.59 | $45.49 | |
United
| Professional | $26.86 | $38.54 | $60.44 |