| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.34 | $211.34 | $234.58 | |
Aetna
| Professional | $191.00 | $211.34 | $234.58 | |
BCBS
| Facility | $148.16 | $148.16 | $162.97 | |
Cigna
| Facility | $142.60 | $232.20 | $232.20 | |
Cigna
| Professional | $232.20 | $232.20 | $232.20 | |
Molina
| Professional | $20.00 | $134.90 | $149.88 | |
United
| Professional | $207.32 | $230.33 | $248.63 |