| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $43.75 | $87.01 | $101.22 | |
Aetna
| Professional | $37.31 | $53.10 | $87.01 | |
BCBS
| Facility | $61.00 | $61.00 | $61.00 | |
BCBS
| Professional | $61.00 | $61.00 | $61.00 | |
Cigna
| Facility | $60.00 | $70.00 | $85.00 | |
Cigna
| Professional | $35.65 | $52.15 | $81.06 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $43.24 | $51.57 | $83.11 |