| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $120.64 | $120.64 | $139.62 | |
BCBS
| Facility | $26.71 | $26.71 | $26.71 | |
BCBS
| Professional | $336.00 | $336.00 | $336.00 | |
Cigna
| Facility | $34.13 | $265.32 | $336.04 | |
Cigna
| Professional | $400.00 | $400.00 | $400.00 | |
Molina
| Professional | $21.25 | $45.64 | $68.00 | |
United
| Professional | $76.51 | $114.77 | $353.21 |