| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.24 | $163.24 | $181.20 | |
Aetna
| Professional | $163.24 | $163.24 | $181.20 | |
BCBS
| Facility | $156.44 | $156.44 | $172.10 | |
Cigna
| Facility | $179.39 | $179.39 | $181.12 | |
Cigna
| Professional | $179.39 | $179.39 | $179.39 | |
Molina
| Professional | $20.00 | $144.15 | $160.16 | |
United
| Professional | $164.98 | $183.29 | $194.68 |