| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.49 | $84.49 | $93.78 | |
Aetna
| Professional | $84.48 | $84.49 | $93.78 | |
BCBS
| Facility | $74.55 | $74.55 | $74.55 | |
Cigna
| Facility | $92.77 | $92.77 | $111.73 | |
Cigna
| Professional | $92.77 | $92.77 | $92.77 | |
Molina
| Professional | $67.96 | $67.96 | $75.52 | |
United
| Professional | $82.83 | $92.02 | $130.53 |