| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.50 | $89.50 | $106.36 | |
Aetna
| Professional | $79.19 | $89.50 | $110.09 | |
Anthem BCBS
| Professional | $83.30 | $104.13 | $148.24 | |
Cigna
| Facility | $118.00 | $118.00 | $118.00 | |
Cigna
| Professional | $92.55 | $92.55 | $484.89 | |
Molina
| Professional | $32.34 | $32.34 | $124.22 | |
United
| Professional | $89.89 | $115.57 | $169.04 |