| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.31 | $67.31 | $107.29 | |
Aetna
| Professional | $67.31 | $79.02 | $114.26 | |
BCBS
| Facility | $205.80 | $205.80 | $226.38 | |
BCBS
| Professional | $196.00 | $196.00 | $196.00 | |
Cigna
| Facility | $56.50 | $56.50 | $56.50 | |
Cigna
| Professional | $41.25 | $41.25 | $56.50 | |
Molina
| Professional | $20.00 | $42.50 | $169.77 | |
United
| Professional | $52.11 | $67.12 | $117.07 |