| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $94.85 | $116.70 | $147.68 | |
BCBS
| Professional | $159.00 | $165.36 | $208.03 | |
Cigna
| Facility | $112.73 | $112.73 | $167.97 | |
Cigna
| Professional | $16.55 | $112.00 | $112.73 | |
Medcost
| Facility | $70.06 | $116.70 | $147.68 | |
Medcost
| Professional | $165.00 | $165.00 | $165.00 | |
Molina
| Professional | $9.91 | $74.34 | $132.16 | |
United
| Professional | $62.76 | $84.23 | $147.94 |