| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $57.54 | $93.33 | $125.89 | |
Aetna
| Professional | $47.86 | $54.95 | $100.00 | |
BCBS
| Facility | $57.54 | $57.54 | $57.54 | |
BCBS
| Professional | $57.54 | $57.54 | $57.54 | |
Cigna
| Facility | $60.26 | $70.79 | $85.11 | |
Cigna
| Professional | $28.84 | $51.29 | $70.79 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $44.67 | $50.12 | $54.95 | |
United
| Professional | $36.31 | $45.71 | $69.18 |