| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.04 | $102.86 | $186.75 | |
Aetna
| Professional | $45.20 | $100.57 | $186.75 | |
BCBS
| Professional | $177.00 | $177.00 | $177.00 | |
Cigna
| Professional | $49.77 | $97.07 | $239.13 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $112.05 | $159.19 | $333.80 |