| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.50 | $138.90 | $543.12 | |
Aetna
| Professional | $57.03 | $110.25 | $197.40 | |
BCBS
| Professional | $178.00 | $178.00 | $178.00 | |
Cigna
| Professional | $72.22 | $101.75 | $179.78 | |
Molina
| Professional | $17.00 | $20.00 | $68.00 | |
United
| Professional | $59.73 | $91.62 | $149.65 |