| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.89 | $158.49 | $158.49 | |
Aetna
| Professional | $87.10 | $120.23 | $134.90 | |
BCBS
| Professional | $147.91 | $151.36 | $151.36 | |
Cigna
| Professional | $107.15 | $107.15 | $134.90 | |
Medcost
| Facility | $109.65 | $125.89 | $162.18 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $112.20 | $141.25 | $208.93 |