| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.19 | $221.19 | $228.17 | |
Aetna
| Professional | $78.04 | $193.25 | $228.17 | |
BCBS
| Facility | $216.35 | $216.35 | $237.99 | |
BCBS
| Professional | $206.05 | $206.05 | $206.05 | |
Cigna
| Professional | $135.78 | $135.78 | $135.78 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $75.17 | $126.23 | $224.74 |