| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $45.93 | $45.93 | $45.93 | |
Aetna
| Professional | $44.07 | $45.93 | $81.26 | |
BCBS
| Professional | $37.00 | $46.64 | $96.52 | |
Cigna
| Facility | $53.85 | $53.85 | $59.46 | |
Cigna
| Professional | $39.31 | $78.90 | $86.19 | |
Medcost
| Facility | $27.76 | $69.75 | $150.16 | |
Medcost
| Professional | $69.75 | $69.75 | $69.75 | |
Molina
| Professional | $62.71 | $62.71 | $62.71 | |
United
| Professional | $30.87 | $44.06 | $59.79 |