| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.13 | $115.88 | $154.50 | |
Aetna
| Professional | $57.52 | $94.94 | $140.00 | |
BCBS
| Facility | $68.80 | $71.44 | $71.44 | |
BCBS
| Professional | $65.14 | $73.93 | $73.93 | |
Cigna
| Professional | $56.02 | $83.76 | $123.05 | |
Molina
| Professional | $25.00 | $46.22 | $61.03 | |
United
| Professional | $75.38 | $89.58 | $119.64 |