| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $79.43 | $194.98 | |
Aetna
| Professional | $28.18 | $33.88 | $79.43 | |
BCBS
| Facility | $64.57 | $64.57 | $64.57 | |
BCBS
| Professional | $181.97 | $181.97 | $181.97 | |
Cigna
| Facility | $28.18 | $28.18 | $29.51 | |
Molina
| Professional | $16.98 | $21.38 | $50.12 | |
United
| Facility | $38.90 | $38.90 | $52.48 | |
United
| Professional | $18.20 | $26.30 | $97.72 |