| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $52.85 | $52.85 | $52.85 | |
Aetna
| Professional | $26.98 | $31.86 | $55.75 | |
BCBS
| Facility | $347.06 | $347.06 | $448.59 | |
BCBS
| Professional | $23.00 | $23.00 | $23.00 | |
Cigna
| Facility | $28.01 | $225.03 | $280.45 | |
Cigna
| Professional | $14.96 | $31.00 | $40.97 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $23.60 | $29.53 | $48.93 |