| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $46.91 | $70.90 | $667.26 | |
Aetna
| Professional | $104.53 | $152.97 | $172.10 | |
BCBS
| Professional | $206.80 | $206.80 | $206.80 | |
Cigna
| Facility | $108.36 | $108.36 | $108.36 | |
Cigna
| Professional | $108.36 | $108.36 | $108.36 | |
Molina
| Professional | $218.28 | $218.28 | $242.54 | |
United
| Professional | $101.99 | $106.24 | $138.11 |