| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $30.90 | $30.90 | $48.98 | |
Aetna
| Professional | $25.70 | $30.90 | $47.86 | |
BCBS
| Facility | $346.74 | $346.74 | $467.74 | |
BCBS
| Professional | $22.91 | $22.91 | $22.91 | |
Cigna
| Facility | $28.18 | $223.87 | $281.84 | |
Cigna
| Professional | $14.79 | $30.90 | $40.74 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $245.47 | $389.05 | $562.34 | |
United
| Professional | $23.44 | $29.51 | $44.67 |