| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $38.68 | $41.39 | $48.32 | |
BCBS
| Professional | $38.68 | $38.68 | $46.55 | |
Cigna
| Professional | $37.79 | $37.79 | $37.79 | |
Medcost
| Facility | $14.56 | $41.39 | $64.42 | |
Medcost
| Professional | $56.12 | $56.12 | $56.12 | |
Molina
| Professional | $23.42 | $25.79 | $30.81 | |
United
| Professional | $32.83 | $39.17 | $59.62 |