| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.77 | $211.86 | $211.86 | |
Aetna
| Professional | $144.77 | $150.07 | $211.86 | |
BCBS
| Facility | $165.00 | $165.00 | $181.50 | |
Cigna
| Facility | $164.68 | $164.68 | $164.68 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $131.33 | $136.80 | $175.10 |