| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $93.70 | $114.12 | $140.81 | |
Aetna
| Professional | $97.37 | $119.69 | $140.81 | |
BCBS
| Facility | $92.48 | $92.48 | $92.48 | |
BCBS
| Professional | $129.82 | $129.82 | $140.38 | |
Cigna
| Professional | $104.72 | $169.98 | $342.88 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $80.61 | $122.51 | $158.08 |