| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $218.78 | $218.78 | $218.78 | |
BCBS
| Facility | $41.69 | $41.69 | $41.69 | |
Cigna
| Facility | $346.74 | $346.74 | $380.19 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 | |
United
| Facility | $1,479.11 | $1,479.11 | $1,479.11 | |
United
| Professional | $41.69 | $41.69 | $41.69 |