| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $269.15 | $295.12 | |
Aetna
| Professional | $63.10 | $75.86 | $100.00 | |
BCBS
| Facility | $162.18 | $186.21 | $204.17 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $50.12 | $52.48 | $63.10 | |
Medcost
| Facility | $58.88 | $83.18 | $144.54 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $35.48 | $44.67 | $74.13 |