| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.03 | $92.23 | $152.66 | |
Aetna
| Professional | $63.03 | $70.16 | $92.23 | |
BCBS
| Professional | $28.35 | $28.35 | $28.35 | |
Cigna
| Facility | $65.33 | $65.33 | $65.33 | |
Cigna
| Professional | $65.33 | $65.33 | $65.33 | |
Molina
| Professional | $10.80 | $10.80 | $12.00 | |
United
| Professional | $61.49 | $64.05 | $83.27 |