| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $101.67 | $101.67 | $101.67 | |
Aetna
| Professional | $58.13 | $126.87 | $167.62 | |
BCBS
| Professional | $129.00 | $129.00 | $129.00 | |
Cigna
| Professional | $128.26 | $128.26 | $128.26 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $123.39 | $156.34 | $235.13 |