| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $42.66 | $42.66 | $42.66 | |
Aetna
| Professional | $42.66 | $49.46 | $62.06 | |
BCBS
| Facility | $70.48 | $73.20 | $73.20 | |
Cigna
| Professional | $49.10 | $49.10 | $49.10 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $48.22 | $58.10 | $80.58 |