| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.20 | $338.92 | $375.96 | |
Aetna
| Professional | $146.31 | $338.92 | $375.96 | |
BCBS
| Facility | $79.20 | $79.20 | $79.20 | |
BCBS
| Professional | $79.20 | $79.20 | $79.20 | |
Cigna
| Facility | $120.38 | $120.38 | $126.40 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $77.78 | $111.12 | $314.83 |