| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.28 | $40.28 | $40.28 | |
Aetna
| Professional | $21.33 | $32.90 | $40.28 | |
BCBS
| Professional | $30.83 | $31.76 | $50.90 | |
Cigna
| Professional | $18.97 | $18.97 | $25.36 | |
Medcost
| Facility | $15.88 | $31.27 | $48.74 | |
Medcost
| Professional | $22.68 | $22.68 | $22.68 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $23.49 | $27.50 | $41.44 |