| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $41.50 | $67.31 | $140.00 | |
Aetna
| Professional | $14.40 | $33.47 | $67.31 | |
BCBS
| Facility | $56.65 | $58.83 | $58.83 | |
BCBS
| Professional | $68.00 | $68.00 | $68.00 | |
Cigna
| Facility | $60.00 | $70.00 | $85.00 | |
Cigna
| Professional | $31.91 | $63.85 | $114.34 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $28.71 | $42.95 | $45.61 |