| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.08 | $77.08 | $77.08 | |
Aetna
| Professional | $72.00 | $77.08 | $144.16 | |
BCBS
| Professional | $173.96 | $173.96 | $216.77 | |
Cigna
| Facility | $52.17 | $52.17 | $57.61 | |
Cigna
| Professional | $38.08 | $52.17 | $52.17 | |
Medcost
| Facility | $28.81 | $119.26 | $288.10 | |
Medcost
| Professional | $178.27 | $178.27 | $178.27 | |
Molina
| Professional | $70.00 | $70.00 | $70.00 | |
United
| Professional | $71.31 | $106.01 | $149.12 |