| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $72.92 | $78.04 | $160.13 | |
Aetna
| Professional | $67.97 | $95.75 | $160.13 | |
BCBS
| Professional | $217.00 | $217.00 | $217.00 | |
Cigna
| Professional | $66.77 | $119.53 | $165.48 | |
Molina
| Professional | $24.18 | $32.34 | $32.34 | |
United
| Professional | $120.49 | $186.97 | $309.19 |