| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $199.53 | $208.93 | |
Aetna
| Professional | $100.00 | $134.90 | $199.53 | |
BCBS
| Facility | $61.66 | $61.66 | $61.66 | |
BCBS
| Professional | $186.21 | $186.21 | $186.21 | |
Cigna
| Facility | $60.26 | $162.18 | $186.21 | |
Cigna
| Professional | $89.13 | $147.91 | $295.12 | |
Molina
| Professional | $21.38 | $42.66 | $67.61 | |
United
| Facility | $79.43 | $165.96 | $257.04 | |
United
| Professional | $100.00 | $138.04 | $223.87 |