| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.83 | $131.83 | $169.82 | |
Aetna
| Professional | $134.90 | $151.36 | $190.55 | |
BCBS
| Facility | $199.53 | $204.17 | $204.17 | |
Cigna
| Professional | $141.25 | $141.25 | $141.25 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Professional | $158.49 | $194.98 | $257.04 |