| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $87.82 | $750.00 | $1,831.00 | |
Aetna
| Professional | $55.84 | $92.76 | $230.30 | |
BCBS
| Professional | $169.00 | $169.00 | $169.00 | |
Cigna
| Professional | $72.80 | $117.50 | $189.12 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $513.00 | $1,739.00 | |
United
| Professional | $84.06 | $133.50 | $257.89 |