| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $210.78 | $210.78 | $217.43 | |
Aetna
| Professional | $147.74 | $210.78 | $245.89 | |
BCBS
| Professional | $261.95 | $261.95 | $261.95 | |
Cigna
| Professional | $160.94 | $160.94 | $160.94 | |
Molina
| Professional | $17.00 | $20.00 | $25.00 | |
United
| Professional | $96.39 | $144.59 | $284.60 |