| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.90 | $63.98 | $100.76 | |
Aetna
| Professional | $37.28 | $58.17 | $100.76 | |
BCBS
| Facility | $53.90 | $53.90 | $53.90 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Facility | $31.66 | $31.66 | $61.13 | |
Cigna
| Professional | $34.71 | $54.59 | $84.08 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $47.19 | $57.99 | $90.05 |