| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.00 | $22.15 | $22.15 | |
BCBS
| Professional | $6.00 | $6.00 | $6.56 | |
Cigna
| Facility | $56.25 | $56.25 | $64.00 | |
Cigna
| Professional | $0.12 | $0.12 | $0.12 | |
Medcost
| Facility | $15.13 | $15.13 | $18.91 | |
Medcost
| Professional | $15.14 | $15.14 | $15.14 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |