| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62.62 | $62.62 | $126.67 | |
Aetna
| Professional | $62.62 | $123.34 | $135.66 | |
BCBS
| Professional | $54.06 | $54.06 | $54.06 | |
Cigna
| Professional | $73.14 | $73.14 | $73.14 | |
Molina
| Professional | $42.50 | $50.00 | $80.00 | |
United
| Professional | $53.25 | $83.97 | $135.63 |