| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.86 | $47.86 | $47.86 | |
Aetna
| Professional | $48.98 | $56.23 | $77.62 | |
BCBS
| Facility | $70.79 | $70.79 | $70.79 | |
BCBS
| Professional | $70.79 | $70.79 | $70.79 | |
Cigna
| Professional | $56.23 | $72.44 | $112.20 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $54.95 | $69.18 | $95.50 |