| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $150.00 | $263.85 | $285.77 | |
Aetna
| Professional | $135.83 | $263.85 | $274.77 | |
BCBS
| Facility | $119.43 | $119.43 | $119.43 | |
BCBS
| Professional | $272.00 | $272.00 | $272.00 | |
Cigna
| Facility | $118.60 | $174.12 | $253.27 | |
Cigna
| Professional | $105.52 | $205.39 | $405.00 | |
Molina
| Professional | $21.25 | $178.15 | $197.95 | |
United
| Professional | $146.97 | $205.29 | $331.40 |