| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $173.78 | $316.23 | $346.74 | |
Aetna
| Professional | $131.83 | $162.18 | $316.23 | |
BCBS
| Facility | $257.04 | $257.04 | $257.04 | |
Cigna
| Professional | $120.23 | $199.53 | $251.19 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $154.88 | $154.88 | $208.93 | |
United
| Professional | $72.44 | $95.50 | $389.05 |