| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $145.68 | $145.68 | $166.49 | |
Aetna
| Professional | $138.74 | $145.68 | $166.49 | |
BCBS
| Facility | $125.81 | $125.81 | $138.38 | |
BCBS
| Professional | $158.85 | $158.85 | $158.85 | |
Cigna
| Facility | $138.74 | $138.74 | $138.74 | |
Cigna
| Professional | $138.74 | $138.74 | $138.74 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $131.80 | $138.74 | $180.36 |