| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $77.55 | $105.34 | $231.32 | |
Aetna
| Professional | $102.98 | $152.40 | $231.32 | |
BCBS
| Professional | $205.00 | $205.00 | $205.00 | |
Cigna
| Professional | $96.97 | $154.08 | $234.88 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $53.73 | $116.45 | $201.28 |