| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.44 | $77.62 | $125.89 | |
Aetna
| Professional | $67.61 | $83.18 | $125.89 | |
BCBS
| Professional | $218.78 | $218.78 | $218.78 | |
Cigna
| Professional | $60.26 | $109.65 | $165.96 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $120.23 | $169.82 | $281.84 |