| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.10 | $151.36 | $234.42 | |
Aetna
| Professional | $61.66 | $63.10 | $91.20 | |
BCBS
| Professional | $28.18 | $28.18 | $28.18 | |
Cigna
| Facility | $66.07 | $66.07 | $66.07 | |
Cigna
| Professional | $66.07 | $66.07 | $66.07 | |
Molina
| Professional | $42.66 | $42.66 | $50.12 | |
United
| Professional | $61.66 | $64.57 | $100.00 |