| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.18 | $125.89 | $134.90 | |
Aetna
| Professional | $64.57 | $77.62 | $102.33 | |
BCBS
| Professional | $144.54 | $144.54 | $144.54 | |
Cigna
| Facility | $43.65 | $43.65 | $43.65 | |
Molina
| Professional | $19.95 | $25.12 | $67.61 | |
United
| Professional | $37.15 | $47.86 | $77.62 |