| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $164.60 | $164.60 | $182.70 | |
Aetna
| Professional | $164.59 | $164.60 | $182.70 | |
BCBS
| Facility | $110.61 | $110.61 | $121.66 | |
Cigna
| Facility | $175.41 | $175.41 | $175.41 | |
Cigna
| Professional | $175.41 | $175.41 | $175.41 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $156.69 | $174.09 | $187.09 |