| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $55.18 | $55.18 | $55.18 | |
Aetna
| Professional | $55.18 | $58.72 | $58.72 | |
BCBS
| Professional | $50.03 | $53.08 | $76.06 | |
Cigna
| Professional | $62.48 | $75.12 | $137.27 | |
Medcost
| Facility | $55.18 | $65.31 | $136.50 | |
Molina
| Professional | $32.34 | $40.55 | $63.07 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $56.90 | $76.41 | $149.66 |