| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $151.60 | $286.24 | $304.67 | |
Aetna
| Professional | $75.15 | $96.15 | $304.67 | |
BCBS
| Facility | $104.76 | $104.76 | $104.76 | |
BCBS
| Professional | $104.76 | $104.76 | $104.76 | |
Cigna
| Professional | $138.94 | $354.55 | $430.17 | |
Molina
| Professional | $25.00 | $45.00 | $80.00 | |
United
| Professional | $63.81 | $85.34 | $208.06 |