| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.22 | $63.22 | $100.75 | |
Aetna
| Professional | $63.22 | $74.20 | $107.30 | |
BCBS
| Professional | $88.87 | $88.87 | $88.87 | |
Cigna
| Facility | $139.08 | $139.08 | $139.08 | |
Cigna
| Professional | $101.53 | $101.53 | $139.08 | |
Molina
| Professional | $20.00 | $42.50 | $249.00 | |
United
| Professional | $48.94 | $64.48 | $110.02 |