| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $19.50 | $23.58 | $33.85 | |
BCBS
| Professional | $28.14 | $31.00 | $42.10 | |
Cigna
| Professional | $29.16 | $29.16 | $29.16 | |
Medcost
| Facility | $17.18 | $25.64 | $37.99 | |
Medcost
| Professional | $28.14 | $28.14 | $28.14 | |
Molina
| Professional | $32.34 | $40.55 | $63.26 | |
United
| Professional | $22.41 | $26.71 | $43.51 |