| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.24 | $87.24 | $87.24 | |
Aetna
| Professional | $84.45 | $92.96 | $110.09 | |
BCBS
| Professional | $96.48 | $96.48 | $131.94 | |
Cigna
| Professional | $92.55 | $92.55 | $111.88 | |
Medcost
| Facility | $73.18 | $95.96 | $139.91 | |
Medcost
| Professional | $104.55 | $104.55 | $104.55 | |
Molina
| Professional | $80.83 | $104.96 | $128.32 | |
United
| Professional | $94.38 | $120.21 | $162.82 |