| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $138.26 | $152.24 | $176.24 | |
Aetna
| Professional | $138.26 | $159.44 | $182.20 | |
Anthem BCBS
| Professional | $119.84 | $140.99 | $179.62 | |
Cigna
| Facility | $182.89 | $182.89 | $182.89 | |
Cigna
| Professional | $141.06 | $141.06 | $257.48 | |
Molina
| Professional | $32.34 | $32.34 | $192.53 | |
United
| Professional | $151.25 | $193.64 | $293.42 |