| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.70 | $169.96 | $509.86 | |
Aetna
| Professional | $146.00 | $169.96 | $188.65 | |
BCBS
| Facility | $122.39 | $122.39 | $134.63 | |
Cigna
| Facility | $139.13 | $186.76 | $186.76 | |
Cigna
| Professional | $186.76 | $186.76 | $186.76 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $166.75 | $185.26 | $199.95 |