| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.71 | $69.18 | $107.15 | |
BCBS
| Professional | $72.44 | $75.86 | $213.80 | |
Cigna
| Facility | $87.10 | $87.10 | $87.10 | |
Cigna
| Professional | $45.71 | $45.71 | $61.66 | |
Medcost
| Facility | $51.29 | $93.33 | $138.04 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $51.29 | $63.10 | $107.15 |