| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.43 | $103.43 | $188.24 | |
Aetna
| Professional | $88.93 | $118.60 | $188.24 | |
BCBS
| Facility | $118.81 | $123.38 | $123.38 | |
BCBS
| Professional | $127.00 | $127.00 | $127.00 | |
Cigna
| Facility | $65.00 | $70.00 | $90.00 | |
Cigna
| Professional | $79.64 | $107.00 | $152.07 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $105.14 | $105.14 | $105.14 | |
United
| Professional | $79.33 | $98.52 | $171.30 |