| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $28.22 | $28.22 | $28.22 | |
Aetna
| Professional | $27.08 | $28.22 | $49.92 | |
BCBS
| Professional | $30.00 | $38.50 | $60.43 | |
Cigna
| Facility | $28.80 | $33.22 | $48.75 | |
Cigna
| Professional | $24.25 | $33.22 | $34.28 | |
Medcost
| Facility | $25.37 | $39.51 | $89.53 | |
Medcost
| Professional | $33.00 | $33.00 | $33.00 | |
United
| Professional | $18.96 | $27.07 | $34.28 |