| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.20 | $75.23 | $98.29 | |
Aetna
| Professional | $69.20 | $69.22 | $77.36 | |
BCBS
| Facility | $52.93 | $52.93 | $52.93 | |
Cigna
| Facility | $76.14 | $76.14 | $76.14 | |
Cigna
| Professional | $76.14 | $76.14 | $76.14 | |
Molina
| Professional | $20.00 | $20.00 | $20.00 | |
United
| Professional | $77.36 | $81.43 | $91.28 |