| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.55 | $229.58 | $376.69 | |
Aetna
| Professional | $171.55 | $251.05 | $376.69 | |
BCBS
| Professional | $268.00 | $268.00 | $268.00 | |
Cigna
| Professional | $117.01 | $265.89 | $386.03 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $166.84 | $236.35 | $401.25 |