| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $33.15 | $37.67 | $49.75 | |
Aetna
| Professional | $27.67 | $33.49 | $47.84 | |
BCBS
| Facility | $158.59 | $158.59 | $174.45 | |
BCBS
| Professional | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $92.57 | $97.20 | $124.54 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $32.19 | $47.72 | $89.15 |