| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $120.31 | $146.53 | $178.89 | |
Aetna
| Professional | $124.71 | $152.06 | $186.83 | |
BCBS
| Facility | $92.20 | $92.20 | $92.20 | |
BCBS
| Professional | $170.87 | $170.87 | $185.33 | |
Cigna
| Professional | $134.54 | $215.60 | $395.80 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $114.42 | $159.11 | $211.38 |