| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.05 | $126.05 | $212.19 | |
Aetna
| Professional | $103.93 | $126.05 | $212.19 | |
BCBS
| Facility | $132.50 | $137.59 | $137.59 | |
BCBS
| Professional | $143.00 | $143.00 | $143.00 | |
Cigna
| Professional | $100.68 | $140.38 | $210.36 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $102.86 | $125.12 | $196.89 |