| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.96 | $57.96 | $116.49 | |
Aetna
| Professional | $57.96 | $105.23 | $116.49 | |
BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $58.23 | $87.98 | $113.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $57.72 | $70.69 | $168.93 |