| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.12 | $155.30 | $155.30 | |
Aetna
| Professional | $106.12 | $110.01 | $155.30 | |
BCBS
| Facility | $129.00 | $129.00 | $141.90 | |
Cigna
| Facility | $123.02 | $123.02 | $123.02 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $124.24 | $129.41 | $165.66 |