| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $191.29 | $191.29 | $218.62 | |
Aetna
| Professional | $182.18 | $191.29 | $218.62 | |
BCBS
| Professional | $5.32 | $5.32 | $5.32 | |
Cigna
| Facility | $182.18 | $182.18 | $182.18 | |
Cigna
| Professional | $182.18 | $182.18 | $182.18 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $173.07 | $182.18 | $236.83 |