| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $73.36 | $73.36 | $73.36 | |
Aetna
| Professional | $69.80 | $94.48 | $120.95 | |
BCBS
| Facility | $132.69 | $132.69 | $151.00 | |
BCBS
| Professional | $151.00 | $151.00 | $151.00 | |
Cigna
| Professional | $92.85 | $92.85 | $92.85 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Professional | $91.06 | $114.64 | $185.68 |