| 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 | $41.00 | $92.81 | $111.69 | |
Cigna
| Facility | $53.85 | $53.85 | $59.46 | |
Cigna
| Professional | $39.31 | $41.73 | $53.85 | |
Medcost
| Facility | $45.93 | $62.60 | $145.74 | |
Medcost
| Professional | $39.00 | $39.00 | $42.00 | |
Molina
| Professional | $62.71 | $62.71 | $62.71 | |
United
| Professional | $30.87 | $44.24 | $64.78 |