| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $125.12 | $125.12 | $125.12 | |
Aetna
| Professional | $100.74 | $121.78 | $137.29 | |
BCBS
| Professional | $144.33 | $144.33 | $148.69 | |
Cigna
| Professional | $107.43 | $107.43 | $134.04 | |
Medcost
| Facility | $106.35 | $125.12 | $168.91 | |
Molina
| Professional | $108.32 | $139.56 | $171.26 | |
United
| Professional | $113.15 | $138.44 | $210.16 |