| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.09 | $64.09 | $74.78 | |
Aetna
| Professional | $67.43 | $81.98 | $103.40 | |
BCBS
| Facility | $108.35 | $108.35 | $113.00 | |
BCBS
| Professional | $113.00 | $113.00 | $113.00 | |
Cigna
| Professional | $80.73 | $107.98 | $164.36 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $87.60 | $105.48 | $148.90 |