| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.86 | $140.75 | $185.90 | |
Aetna
| Professional | $103.46 | $125.12 | $178.75 | |
BCBS
| Facility | $95.76 | $95.76 | $105.34 | |
BCBS
| Professional | $250.00 | $250.00 | $250.00 | |
Cigna
| Facility | $67.59 | $68.78 | $78.61 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $124.75 | $177.78 | $333.34 |