| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.59 | $122.59 | $126.46 | |
Aetna
| Professional | $79.90 | $122.59 | $129.81 | |
BCBS
| Facility | $145.00 | $145.00 | $145.00 | |
BCBS
| Professional | $145.00 | $145.00 | $145.00 | |
Cigna
| Professional | $60.12 | $60.12 | $173.52 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $41.66 | $69.14 | $119.64 |