| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.37 | $62.37 | $62.37 | |
Aetna
| Professional | $60.50 | $65.98 | $78.50 | |
BCBS
| Professional | $68.77 | $68.77 | $94.04 | |
Cigna
| Professional | $66.06 | $66.06 | $80.34 | |
Medcost
| Facility | $52.47 | $68.68 | $99.94 | |
Medcost
| Professional | $74.95 | $74.95 | $74.95 | |
Molina
| Professional | $53.33 | $69.59 | $87.20 | |
United
| Professional | $66.94 | $81.81 | $118.56 |