| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.13 | $90.83 | $147.30 | |
Aetna
| Professional | $42.13 | $69.03 | $90.83 | |
BCBS
| Facility | $94.00 | $97.00 | $97.00 | |
BCBS
| Professional | $97.00 | $97.00 | $97.00 | |
Cigna
| Facility | $60.00 | $70.00 | $90.00 | |
Cigna
| Professional | $33.92 | $83.32 | $121.06 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $64.31 | $79.20 | $127.87 |