| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $192.18 | $192.18 | $198.24 | |
Aetna
| Professional | $138.61 | $194.20 | $203.51 | |
BCBS
| Facility | $186.10 | $186.10 | $186.10 | |
BCBS
| Professional | $186.10 | $186.10 | $186.10 | |
Cigna
| Professional | $94.26 | $94.26 | $206.54 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $65.31 | $108.39 | $228.21 |