| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.35 | $59.35 | $239.95 | |
Aetna
| Professional | $57.90 | $60.08 | $61.52 | |
BCBS
| Professional | $67.09 | $67.09 | $87.98 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $61.52 | |
Medcost
| Facility | $59.35 | $75.45 | $101.24 | |
Medcost
| Professional | $77.00 | $77.00 | $77.00 | |
Molina
| Professional | $58.18 | $58.18 | $72.72 | |
United
| Professional | $51.27 | $60.32 | $60.92 |