| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.33 | $102.33 | $102.33 | |
Aetna
| Professional | $60.26 | $69.18 | $83.18 | |
BCBS
| Professional | $75.86 | $85.11 | $102.33 | |
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Cigna
| Professional | $69.18 | $69.18 | $81.28 | |
Medcost
| Facility | $64.57 | $81.28 | $144.54 | |
Medcost
| Professional | $66.07 | $66.07 | $66.07 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $66.07 | $83.18 | $125.89 |