| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $24.48 | $24.48 | $24.48 | |
Aetna
| Professional | $23.51 | $24.48 | $43.31 | |
BCBS
| Professional | $29.00 | $36.57 | $52.43 | |
Cigna
| Facility | $22.03 | $30.91 | $34.13 | |
Cigna
| Professional | $22.56 | $29.74 | $30.91 | |
Medcost
| Facility | $22.01 | $36.00 | $77.68 | |
Medcost
| Professional | $28.00 | $28.00 | $30.00 | |
Molina
| Professional | $21.55 | $21.55 | $21.55 | |
United
| Professional | $16.45 | $24.67 | $33.26 |