| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.01 | $109.86 | $226.21 | |
Aetna
| Professional | $100.94 | $150.44 | $226.21 | |
BCBS
| Professional | $395.00 | $395.00 | $395.00 | |
Cigna
| Professional | $94.74 | $151.44 | $259.68 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $124.65 | $234.08 | $454.75 |