| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.79 | $95.50 | $107.15 | |
Aetna
| Professional | $57.54 | $85.11 | $100.00 | |
BCBS
| Facility | $125.89 | $125.89 | $138.04 | |
BCBS
| Professional | $97.72 | $97.72 | $97.72 | |
Cigna
| Facility | $95.50 | $95.50 | $95.50 | |
Molina
| Professional | $42.66 | $42.66 | $50.12 | |
United
| Facility | $93.33 | $229.09 | $338.84 | |
United
| Professional | $75.86 | $95.50 | $120.23 |