| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.85 | $61.85 | $61.85 | |
Aetna
| Professional | $60.07 | $66.98 | $80.41 | |
BCBS
| Professional | $69.33 | $69.33 | $94.81 | |
Cigna
| Professional | $65.77 | $65.77 | $82.32 | |
Medcost
| Facility | $54.27 | $70.75 | $100.95 | |
Medcost
| Professional | $77.53 | $77.53 | $77.53 | |
Molina
| Professional | $80.83 | $104.96 | $128.32 | |
United
| Professional | $67.80 | $85.04 | $119.64 |