| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.68 | $81.68 | $81.68 | |
Aetna
| Professional | $64.95 | $81.68 | $152.74 | |
BCBS
| Professional | $120.00 | $151.29 | $222.08 | |
Cigna
| Facility | $133.72 | $133.72 | $362.52 | |
Cigna
| Professional | $97.62 | $133.72 | $136.97 | |
Medcost
| Facility | $81.68 | $146.11 | $267.04 | |
Medcost
| Professional | $127.00 | $127.00 | $127.00 | |
Molina
| Professional | $153.92 | $153.92 | $153.92 | |
United
| Professional | $73.50 | $105.91 | $136.97 |