| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $111.89 | $111.89 | $111.89 | |
Aetna
| Professional | $101.36 | $108.70 | $116.46 | |
BCBS
| Professional | $87.83 | $99.64 | $142.08 | |
Cigna
| Professional | $109.06 | $141.28 | $217.20 | |
Medcost
| Facility | $111.58 | $136.00 | $225.83 | |
Molina
| Professional | $84.09 | $113.27 | $169.60 | |
United
| Professional | $100.93 | $117.54 | $179.41 |