| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.50 | $125.50 | $139.31 | |
Aetna
| Professional | $125.50 | $125.50 | $139.31 | |
BCBS
| Facility | $128.58 | $128.58 | $141.44 | |
Cigna
| Facility | $131.19 | $137.94 | $137.94 | |
Cigna
| Professional | $137.94 | $137.94 | $137.94 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $147.65 | $147.65 | $170.18 |