| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.36 | $91.36 | $91.36 | |
Aetna
| Professional | $91.36 | $105.63 | $133.41 | |
BCBS
| Facility | $150.05 | $155.82 | $155.82 | |
Cigna
| Professional | $104.45 | $104.45 | $104.45 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $103.34 | $124.51 | $170.58 |