| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.78 | $135.78 | $135.78 | |
Aetna
| Professional | $135.78 | $151.15 | $183.71 | |
BCBS
| Professional | $149.00 | $149.00 | $205.62 | |
Cigna
| Professional | $141.06 | $141.06 | $190.24 | |
Medcost
| Facility | $125.16 | $156.15 | $224.97 | |
Medcost
| Professional | $178.80 | $178.80 | $178.80 | |
Molina
| Professional | $108.32 | $139.56 | $171.26 | |
United
| Professional | $157.97 | $196.14 | $278.79 |