| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.75 | $147.38 | $162.29 | |
Aetna
| Professional | $107.71 | $162.29 | $172.96 | |
Anthem BCBS
| Professional | $11.85 | $15.81 | $15.81 | |
Cigna
| Facility | $197.16 | $197.16 | $197.16 | |
Cigna
| Professional | $152.63 | $826.34 | $826.34 | |
Molina
| Professional | $45.00 | $45.00 | $45.00 | |
United
| Professional | $110.59 | $159.56 | $255.74 |