| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $76.88 | $112.50 | $112.50 | |
Aetna
| Professional | $76.88 | $79.69 | $112.50 | |
BCBS
| Facility | $94.00 | $94.00 | $103.40 | |
Cigna
| Facility | $79.50 | $79.50 | $87.45 | |
Cigna
| Professional | $79.50 | $79.50 | $79.50 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $87.06 | $90.69 | $116.08 |