| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.16 | $69.16 | $76.84 | |
Aetna
| Professional | $53.50 | $67.89 | $108.92 | |
BCBS
| Professional | $77.00 | $77.00 | $77.00 | |
Cigna
| Professional | $45.00 | $64.73 | $96.02 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $51.25 | $65.31 | $114.84 |