| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $45.61 | $45.61 | $57.71 | |
BCBS
| Professional | $57.00 | $72.00 | $105.50 | |
Cigna
| Facility | $43.04 | $46.80 | $46.80 | |
Cigna
| Professional | $39.78 | $46.80 | $69.59 | |
Medcost
| Facility | $39.17 | $54.73 | $113.31 | |
Medcost
| Professional | $59.00 | $59.00 | $60.00 | |
Molina
| Professional | $4.74 | $35.58 | $47.46 | |
United
| Professional | $27.54 | $40.90 | $57.10 |