| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $49.61 | $49.61 | $89.12 | |
Aetna
| Professional | $41.07 | $75.33 | $110.37 | |
BCBS
| Professional | $102.00 | $102.00 | $102.00 | |
Cigna
| Professional | $40.11 | $74.70 | $115.57 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $71.27 | $88.99 | $146.81 |