| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $144.54 | $1,513.56 | $2,570.40 | |
Aetna
| Professional | $87.10 | $144.54 | $245.47 | |
BCBS
| Professional | $295.12 | $295.12 | $295.12 | |
Cigna
| Professional | $89.13 | $165.96 | $281.84 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $575.44 | $1,513.56 | |
United
| Professional | $104.71 | $165.96 | $263.03 |