| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $31.58 | $100.00 | $107.85 | |
Aetna
| Professional | $29.22 | $44.69 | $68.17 | |
BCBS
| Facility | $188.93 | $188.93 | $188.93 | |
BCBS
| Professional | $73.00 | $73.00 | $73.00 | |
Cigna
| Professional | $57.14 | $57.14 | $57.14 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $47.55 | $62.25 | $85.23 |