| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.43 | $79.48 | $107.30 | |
Aetna
| Professional | $34.31 | $34.31 | $34.31 | |
BCBS
| Facility | $65.15 | $65.15 | $65.15 | |
BCBS
| Professional | $180.68 | $180.68 | $180.68 | |
Cigna
| Facility | $28.23 | $28.23 | $29.64 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $18.23 | $26.06 | $73.83 |