| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $68.84 | $125.77 | $125.77 | |
Aetna
| Professional | $68.84 | $84.03 | $121.81 | |
BCBS
| Professional | $89.00 | $89.00 | $89.00 | |
Cigna
| Facility | $188.23 | $188.23 | $188.23 | |
Cigna
| Professional | $69.78 | $93.23 | $124.24 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $62.15 | $80.48 | $112.02 |