| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.75 | $286.85 | $387.25 | |
Aetna
| Professional | $123.83 | $123.83 | $123.83 | |
BCBS
| Facility | $41.00 | $41.00 | $41.00 | |
BCBS
| Professional | $41.00 | $41.00 | $41.00 | |
Cigna
| Facility | $101.89 | $101.89 | $106.98 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 | |
United
| Facility | $156.75 | $156.75 | $156.75 | |
United
| Professional | $65.84 | $94.05 | $266.48 |