| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $61.33 | $61.33 | $63.27 | |
Aetna
| Professional | $40.04 | $61.33 | $64.95 | |
BCBS
| Facility | $93.60 | $97.20 | $97.20 | |
BCBS
| Professional | $145.00 | $145.00 | $145.00 | |
Cigna
| Professional | $30.08 | $30.08 | $86.76 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $20.84 | $33.43 | $57.98 |