| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.62 | $185.78 | $269.02 | |
Aetna
| Professional | $126.63 | $178.63 | $269.02 | |
BCBS
| Facility | $185.00 | $185.00 | $185.00 | |
BCBS
| Professional | $185.00 | $185.00 | $185.00 | |
Cigna
| Facility | $65.00 | $70.00 | $90.00 | |
Cigna
| Professional | $173.38 | $235.00 | $311.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $162.76 | $202.98 | $340.15 |