| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $79.04 | $79.04 | $81.54 | |
Aetna
| Professional | $30.35 | $66.16 | $81.54 | |
BCBS
| Facility | $120.63 | $125.27 | $125.27 | |
BCBS
| Professional | $145.00 | $145.00 | $145.00 | |
Cigna
| Professional | $38.77 | $38.77 | $85.35 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $26.86 | $44.58 | $77.13 |