| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.61 | $67.61 | $69.18 | |
Aetna
| Professional | $48.98 | $63.10 | $95.50 | |
BCBS
| Professional | $83.18 | $83.18 | $83.18 | |
Cigna
| Professional | $36.31 | $54.95 | $91.20 | |
Molina
| Professional | $21.38 | $38.02 | $67.61 | |
United
| Professional | $52.48 | $69.18 | $117.49 |