| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.84 | $0.84 | $0.84 | |
Aetna
| Professional | $0.82 | $0.85 | $0.87 | |
BCBS
| Facility | $114.51 | $255.98 | $442.89 | |
Cigna
| Facility | $85.00 | $85.00 | $85.00 | |
Cigna
| Professional | $56.29 | $56.29 | $56.29 | |
Medcost
| Facility | $0.84 | $0.97 | $1.20 | |
Medcost
| Professional | $0.97 | $0.97 | $0.97 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |