| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.38 | $41.38 | $41.38 | |
Aetna
| Professional | $41.38 | $46.13 | $55.82 | |
BCBS
| Professional | $46.43 | $46.43 | $63.49 | |
Cigna
| Professional | $44.04 | $44.04 | $57.64 | |
Medcost
| Facility | $37.93 | $47.59 | $70.06 | |
Medcost
| Professional | $54.19 | $54.19 | $54.19 | |
Molina
| Professional | $32.34 | $37.11 | $43.66 | |
United
| Professional | $47.92 | $58.90 | $87.64 |