| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $192.44 | $208.43 | |
Aetna
| Professional | $99.07 | $192.44 | $200.41 | |
BCBS
| Facility | $62.00 | $62.00 | $62.00 | |
BCBS
| Professional | $188.00 | $188.00 | $188.00 | |
Cigna
| Facility | $60.83 | $161.88 | $187.39 | |
Cigna
| Professional | $88.18 | $126.80 | $294.80 | |
Molina
| Professional | $21.25 | $98.08 | $108.98 | |
United
| Professional | $107.80 | $147.40 | $254.75 |