| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $141.25 | $141.25 | $156.79 | |
Aetna
| Professional | $141.25 | $141.25 | $156.79 | |
BCBS
| Facility | $148.71 | $148.71 | $163.58 | |
Cigna
| Facility | $148.50 | $148.50 | $158.62 | |
Cigna
| Professional | $148.50 | $148.50 | $148.50 | |
Molina
| Professional | $20.00 | $138.91 | $154.35 | |
United
| Professional | $158.96 | $158.96 | $183.22 |