| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.98 | $64.57 | $75.86 | |
BCBS
| Professional | $53.70 | $66.07 | $85.11 | |
Cigna
| Professional | $57.54 | $57.54 | $57.54 | |
Medcost
| Facility | $52.48 | $69.18 | $102.33 | |
Medcost
| Professional | $53.70 | $53.70 | $53.70 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $52.48 | $66.07 | $102.33 |