| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.66 | $73.66 | $81.70 | |
Aetna
| Professional | $56.99 | $72.81 | $124.00 | |
BCBS
| Professional | $75.00 | $75.00 | $75.00 | |
Cigna
| Professional | $48.00 | $68.37 | $103.06 | |
Molina
| Professional | $32.34 | $32.34 | $53.67 | |
United
| Professional | $55.04 | $72.23 | $138.58 |