| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $149.83 | $149.83 | $166.31 | |
Aetna
| Professional | $135.00 | $149.83 | $166.31 | |
BCBS
| Facility | $123.09 | $123.09 | $124.76 | |
Cigna
| Facility | $131.30 | $164.66 | $164.66 | |
Cigna
| Professional | $164.66 | $164.66 | $164.66 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $147.02 | $166.13 | $176.27 |