| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $51.15 | $58.12 | $73.81 | |
Aetna
| Professional | $27.31 | $51.61 | $73.81 | |
BCBS
| Facility | $53.90 | $53.90 | $53.90 | |
BCBS
| Professional | $68.00 | $68.00 | $68.00 | |
Cigna
| Facility | $31.66 | $31.66 | $31.66 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $39.36 | $49.49 | $115.31 |