| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $135.32 | $135.32 | $273.75 | |
Aetna
| Professional | $135.32 | $184.04 | $273.75 | |
BCBS
| Facility | $193.08 | $200.51 | $200.51 | |
BCBS
| Professional | $210.00 | $210.00 | $210.00 | |
Cigna
| Professional | $149.69 | $149.69 | $149.69 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $143.76 | $193.92 | $420.60 |