| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $124.31 | $165.98 | $222.02 | |
BCBS
| Facility | $201.00 | $201.00 | $201.00 | |
BCBS
| Professional | $201.00 | $201.00 | $201.00 | |
Cigna
| Professional | $167.84 | $167.84 | $167.84 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $164.65 | $207.85 | $336.21 |