| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $94.76 | $129.78 | $164.80 | |
Aetna
| Professional | $88.60 | $122.75 | $155.00 | |
BCBS
| Facility | $93.30 | $93.30 | $93.30 | |
BCBS
| Professional | $110.44 | $110.44 | $118.37 | |
Cigna
| Professional | $93.51 | $122.38 | $170.40 | |
Molina
| Professional | $21.25 | $50.00 | $82.75 | |
United
| Professional | $99.10 | $111.26 | $152.65 |