| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $136.72 | $172.11 | $240.37 | |
BCBS
| Facility | $209.00 | $209.00 | $209.00 | |
BCBS
| Professional | $209.00 | $209.00 | $209.00 | |
Cigna
| Professional | $183.31 | $183.31 | $183.31 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $171.54 | $218.29 | $348.48 |