| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $117.01 | $130.57 | $237.66 | |
BCBS
| Professional | $164.00 | $168.00 | $610.00 | |
Cigna
| Facility | $179.00 | $179.00 | $179.00 | |
Cigna
| Professional | $115.16 | $154.65 | $232.58 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $107.55 | $127.76 | $217.19 |