| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.30 | $50.30 | $84.68 | |
Aetna
| Professional | $45.57 | $54.73 | $120.00 | |
BCBS
| Professional | $167.00 | $167.00 | $167.00 | |
Cigna
| Professional | $43.76 | $58.69 | $137.13 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $41.13 | $57.40 | $83.20 |