| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $129.99 | $129.99 | $148.56 | |
Aetna
| Professional | $123.80 | $129.99 | $148.56 | |
BCBS
| Professional | $5.32 | $5.32 | $5.32 | |
Cigna
| Facility | $123.80 | $123.80 | $123.80 | |
Cigna
| Professional | $123.80 | $123.80 | $123.80 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $117.61 | $123.80 | $160.94 |