| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $174.34 | $255.13 | $255.13 | |
Aetna
| Professional | $174.34 | $180.72 | $255.13 | |
BCBS
| Facility | $213.00 | $213.00 | $234.30 | |
Cigna
| Facility | $198.33 | $198.33 | $198.33 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $173.09 | $180.30 | $230.78 |