| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $80.68 | $103.45 | $115.63 | |
BCBS
| Professional | $96.64 | $101.47 | $133.36 | |
Cigna
| Facility | $118.31 | $118.31 | $118.31 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Medcost
| Facility | $96.81 | $130.00 | $193.67 | |
Medcost
| Professional | $87.10 | $130.00 | $131.40 | |
Molina
| Professional | $82.42 | $113.07 | $170.36 | |
United
| Professional | $87.77 | $106.27 | $175.50 |