| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $71.84 | $71.84 | $71.84 | |
Aetna
| Professional | $68.94 | $71.84 | $127.12 | |
BCBS
| Professional | $84.00 | $105.91 | $153.88 | |
Cigna
| Facility | $64.66 | $100.43 | $110.88 | |
Cigna
| Professional | $73.31 | $87.30 | $100.43 | |
Medcost
| Facility | $64.59 | $104.00 | $228.00 | |
Medcost
| Professional | $82.00 | $82.00 | $88.00 | |
Molina
| Professional | $98.09 | $98.09 | $98.09 | |
United
| Professional | $48.77 | $71.78 | $91.90 |