| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $142.43 | $154.16 | $213.77 | |
Aetna
| Professional | $119.20 | $161.85 | $205.55 | |
BCBS
| Facility | $158.59 | $158.59 | $174.45 | |
BCBS
| Professional | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $92.57 | $97.20 | $124.54 | |
Cigna
| Professional | $22.77 | $23.43 | $37.57 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $174.35 | $174.35 | $174.35 | |
United
| Professional | $138.63 | $207.75 | $371.75 |