| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $35.54 | $72.90 | $79.25 | |
Aetna
| Professional | $25.87 | $53.35 | $84.94 | |
BCBS
| Facility | $55.00 | $55.00 | $55.00 | |
BCBS
| Professional | $55.00 | $55.00 | $55.00 | |
Cigna
| Professional | $50.29 | $50.29 | $50.29 | |
Molina
| Professional | $17.00 | $21.25 | $45.00 | |
United
| Professional | $56.67 | $68.79 | $106.43 |