| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.08 | $290.63 | $290.63 | |
Aetna
| Professional | $159.08 | $196.00 | $281.42 | |
BCBS
| Professional | $241.00 | $241.00 | $241.00 | |
Cigna
| Facility | $495.79 | $495.79 | $495.79 | |
Cigna
| Professional | $158.78 | $212.09 | $281.95 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $146.25 | $184.06 | $245.61 |