| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $44.44 | $44.44 | $89.31 | |
Aetna
| Professional | $44.44 | $47.39 | $89.31 | |
BCBS
| Professional | $60.00 | $60.00 | $60.00 | |
Cigna
| Professional | $34.64 | $66.26 | $84.76 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $42.75 | $52.65 | $114.30 |