| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $70.86 | $70.86 | $73.09 | |
Aetna
| Professional | $55.77 | $71.61 | $76.15 | |
BCBS
| Facility | $107.10 | $107.10 | $117.81 | |
BCBS
| Professional | $92.23 | $92.23 | $92.23 | |
Cigna
| Professional | $47.79 | $47.79 | $47.79 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $33.65 | $56.50 | $105.64 |