| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $65.47 | $65.47 | $82.86 | |
BCBS
| Professional | $86.50 | $108.00 | $158.25 | |
Cigna
| Facility | $68.43 | $74.67 | $92.75 | |
Cigna
| Professional | $63.47 | $74.67 | $98.00 | |
Medcost
| Facility | $59.51 | $82.86 | $172.17 | |
Medcost
| Professional | $90.00 | $90.00 | $90.37 | |
Molina
| Professional | $7.20 | $54.07 | $72.11 | |
United
| Professional | $40.13 | $61.40 | $89.93 |