| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58.95 | $92.85 | $140.00 | |
Aetna
| Professional | $47.26 | $58.95 | $99.24 | |
BCBS
| Facility | $57.00 | $57.00 | $57.00 | |
BCBS
| Professional | $57.00 | $57.00 | $57.00 | |
Cigna
| Facility | $60.00 | $70.00 | $85.00 | |
Cigna
| Professional | $40.47 | $62.87 | $114.34 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $37.89 | $46.01 | $72.01 |