| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.20 | $330.91 | $678.69 | |
Aetna
| Professional | $25.20 | $159.31 | $678.69 | |
BCBS
| Facility | $176.46 | $176.46 | $194.11 | |
BCBS
| Professional | $76.00 | $76.00 | $76.00 | |
Cigna
| Professional | $19.60 | $52.13 | $370.66 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $31.56 | $270.48 | $311.06 |