| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.74 | $46.74 | $46.74 | |
Aetna
| Professional | $36.65 | $46.74 | $82.69 | |
BCBS
| Professional | $57.00 | $71.86 | $101.39 | |
Cigna
| Facility | $58.60 | $58.60 | $64.70 | |
Cigna
| Professional | $42.78 | $58.60 | $75.29 | |
Medcost
| Facility | $42.02 | $66.25 | $148.30 | |
Medcost
| Professional | $66.26 | $66.26 | $66.26 | |
Molina
| Professional | $63.81 | $63.81 | $63.81 | |
United
| Professional | $31.41 | $45.01 | $56.79 |