| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.03 | $314.91 | $346.06 | |
Aetna
| Professional | $136.69 | $188.60 | $328.76 | |
BCBS
| Facility | $259.55 | $259.55 | $259.55 | |
Cigna
| Professional | $117.95 | $199.07 | $248.83 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $72.67 | $95.17 | $277.64 |