| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.05 | $239.05 | $402.40 | |
Aetna
| Professional | $215.51 | $258.16 | $402.40 | |
BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Professional | $172.35 | $267.38 | $370.97 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $194.67 | $280.98 | $393.79 |