| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.66 | $167.74 | $186.07 | |
Aetna
| Professional | $72.41 | $167.74 | $186.07 | |
BCBS
| Facility | $113.17 | $113.17 | $113.17 | |
BCBS
| Professional | $113.17 | $113.17 | $113.17 | |
Cigna
| Facility | $59.58 | $62.56 | $69.53 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $38.50 | $56.59 | $169.76 |