| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.77 | $64.77 | $64.77 | |
Aetna
| Professional | $20.71 | $47.98 | $53.23 | |
BCBS
| Professional | $50.08 | $50.08 | $50.08 | |
Cigna
| Professional | $20.27 | $36.54 | $87.39 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $18.59 | $31.03 | $65.55 |