| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $48.98 | $54.95 | $54.95 | |
Aetna
| Professional | $38.02 | $48.98 | $64.57 | |
BCBS
| Facility | $56.23 | $56.23 | $56.23 | |
BCBS
| Professional | $51.29 | $51.29 | $51.29 | |
Cigna
| Facility | $31.62 | $31.62 | $31.62 | |
Molina
| Professional | $21.38 | $42.66 | $67.61 | |
United
| Facility | $75.86 | $1,318.26 | $4,073.80 | |
United
| Professional | $38.90 | $52.48 | $109.65 |