| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.10 | $134.90 | $134.90 | |
Aetna
| Professional | $79.43 | $91.20 | $112.20 | |
BCBS
| Professional | $100.00 | $104.71 | $141.25 | |
Cigna
| Professional | $93.33 | $93.33 | $112.20 | |
Medcost
| Facility | $81.28 | $97.72 | $123.03 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $93.33 | $114.82 | $173.78 |