| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.75 | $80.47 | $168.53 | |
Aetna
| Professional | $76.75 | $92.57 | $168.53 | |
BCBS
| Professional | $141.00 | $141.00 | $141.00 | |
Cigna
| Professional | $71.20 | $116.06 | $174.15 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $73.44 | $98.73 | $194.74 |