| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.61 | $222.70 | $222.70 | |
Aetna
| Professional | $72.69 | $80.61 | $142.61 | |
BCBS
| Professional | $95.00 | $119.78 | $172.64 | |
Cigna
| Facility | $72.54 | $117.36 | $129.57 | |
Cigna
| Professional | $85.67 | $117.36 | $126.78 | |
Medcost
| Facility | $72.47 | $117.00 | $255.78 | |
Medcost
| Professional | $92.00 | $92.00 | $98.00 | |
Molina
| Professional | $110.05 | $110.05 | $110.05 | |
United
| Professional | $54.17 | $77.31 | $101.52 |