| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.31 | $127.25 | $148.02 | |
Aetna
| Professional | $55.29 | $80.51 | $142.33 | |
BCBS
| Facility | $90.00 | $90.00 | $90.00 | |
BCBS
| Professional | $90.00 | $90.00 | $90.00 | |
Cigna
| Facility | $60.00 | $70.00 | $85.00 | |
Cigna
| Professional | $61.52 | $83.82 | $109.24 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $64.56 | $76.34 | $124.33 |