| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.56 | $166.41 | $362.64 | |
Aetna
| Professional | $27.37 | $28.07 | $34.86 | |
BCBS
| Facility | $240.04 | $240.04 | $256.52 | |
BCBS
| Professional | $35.09 | $40.00 | $65.29 | |
Cigna
| Facility | $63.78 | $86.45 | $211.37 | |
Cigna
| Professional | $18.45 | $18.45 | $18.45 | |
Medcost
| Facility | $27.37 | $33.64 | $50.88 | |
Molina
| Professional | $19.30 | $19.30 | $19.30 | |
United
| Professional | $14.74 | $24.07 | $35.09 |