| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.94 | $69.94 | $69.94 | |
Aetna
| Professional | $69.94 | $80.86 | $102.53 | |
BCBS
| Facility | $114.61 | $119.02 | $119.02 | |
Cigna
| Professional | $79.45 | $79.45 | $79.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $79.38 | $95.64 | $131.03 |