| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $86.25 | $95.94 | $161.50 | |
Aetna
| Professional | $85.57 | $98.09 | $161.50 | |
BCBS
| Professional | $106.00 | $106.00 | $106.00 | |
Cigna
| Professional | $81.05 | $112.00 | $148.31 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $78.93 | $105.24 | $163.03 |