| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $92.80 | $101.13 | $118.77 | |
BCBS
| Professional | $111.52 | $117.10 | $153.72 | |
Cigna
| Facility | $138.66 | $138.66 | $138.66 | |
Cigna
| Professional | $104.45 | $104.45 | $104.45 | |
Medcost
| Facility | $100.37 | $120.92 | $196.11 | |
Medcost
| Professional | $102.95 | $120.92 | $286.33 | |
Molina
| Professional | $97.03 | $121.29 | $189.22 | |
United
| Professional | $102.10 | $124.51 | $187.78 |