| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $165.44 | $165.44 | $165.44 | |
Aetna
| Professional | $143.94 | $168.94 | $193.42 | |
BCBS
| Professional | $202.05 | $202.05 | $208.15 | |
Cigna
| Professional | $141.06 | $141.06 | $188.16 | |
Medcost
| Facility | $140.62 | $173.60 | $230.29 | |
Molina
| Professional | $108.32 | $139.56 | $171.26 | |
United
| Professional | $158.47 | $202.50 | $281.51 |