| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.57 | $24.43 | $54.10 | |
Aetna
| Professional | $19.67 | $24.04 | $44.96 | |
BCBS
| Facility | $20.69 | $26.29 | $142.00 | |
BCBS
| Professional | $40.00 | $50.43 | $65.30 | |
Cigna
| Facility | $38.15 | $38.15 | $42.12 | |
Cigna
| Professional | $32.43 | $38.15 | $51.90 | |
Medcost
| Facility | $24.04 | $41.67 | $80.67 | |
Medcost
| Professional | $46.83 | $46.83 | $46.83 | |
Molina
| Professional | $45.11 | $45.11 | $45.11 | |
United
| Facility | $64.78 | $64.78 | $64.78 | |
United
| Professional | $20.05 | $31.69 | $44.57 |