| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.52 | $59.69 | $75.80 | |
Aetna
| Professional | $39.33 | $52.98 | $75.80 | |
BCBS
| Facility | $53.90 | $53.90 | $53.90 | |
BCBS
| Professional | $93.00 | $93.00 | $93.00 | |
Cigna
| Facility | $31.66 | $31.66 | $31.66 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $48.11 | $64.95 | $169.91 |