| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $60.76 | $60.76 | $60.76 | |
Aetna
| Professional | $60.76 | $69.66 | $87.08 | |
BCBS
| Facility | $99.89 | $103.73 | $103.73 | |
Cigna
| Professional | $69.04 | $69.04 | $69.04 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $67.69 | $81.56 | $111.82 |