| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.09 | $35.49 | $801.85 | |
Aetna
| Professional | $21.09 | $37.95 | $801.85 | |
BCBS
| Facility | $286.13 | $286.13 | $286.13 | |
BCBS
| Professional | $426.00 | $426.00 | $426.00 | |
Cigna
| Professional | $9.11 | $130.41 | $438.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $61.25 | $263.89 | $384.67 |