| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $80.76 | $80.76 | $102.57 | |
Aetna
| Professional | $38.36 | $66.56 | $102.57 | |
BCBS
| Facility | $136.94 | $136.94 | $150.63 | |
BCBS
| Professional | $81.00 | $81.00 | $81.00 | |
Cigna
| Facility | $85.36 | $85.36 | $85.36 | |
Molina
| Professional | $42.50 | $50.00 | $68.00 | |
United
| Professional | $45.05 | $53.58 | $84.60 |