| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.00 | $66.56 | $73.89 | |
Aetna
| Professional | $62.50 | $66.56 | $121.50 | |
BCBS
| Facility | $60.98 | $62.21 | $62.21 | |
Cigna
| Facility | $59.14 | $70.36 | $70.36 | |
Cigna
| Professional | $70.36 | $70.36 | $70.36 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $63.70 | $70.77 | $76.58 |