| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.57 | $107.57 | $181.08 | |
Aetna
| Professional | $55.27 | $108.57 | $181.08 | |
BCBS
| Professional | $98.64 | $98.64 | $98.64 | |
Cigna
| Facility | $49.60 | $232.16 | $430.47 | |
Cigna
| Professional | $88.99 | $120.14 | $158.94 | |
Molina
| Professional | $25.00 | $45.00 | $80.00 | |
United
| Facility | $225.00 | $536.00 | $1,739.00 | |
United
| Professional | $71.06 | $95.33 | $139.06 |