| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $56.11 | $56.11 | $112.77 | |
Aetna
| Professional | $56.11 | $93.93 | $112.77 | |
BCBS
| Professional | $78.00 | $78.00 | $78.00 | |
Cigna
| Professional | $56.11 | $84.80 | $109.08 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $55.18 | $68.70 | $161.62 |