| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.88 | $239.10 | $775.00 | |
Aetna
| Professional | $113.09 | $141.46 | $304.95 | |
BCBS
| Facility | $117.75 | $117.75 | $117.75 | |
BCBS
| Professional | $178.00 | $178.00 | $178.00 | |
Cigna
| Facility | $51.90 | $205.43 | $285.16 | |
Cigna
| Professional | $106.69 | $175.43 | $266.11 | |
Molina
| Professional | $32.34 | $32.34 | $88.83 | |
United
| Professional | $93.20 | $153.72 | $220.23 |