| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $63.94 | $63.94 | $75.55 | |
Aetna
| Professional | $56.51 | $63.94 | $78.50 | |
Anthem BCBS
| Professional | $59.32 | $74.16 | $105.92 | |
Cigna
| Facility | $84.06 | $84.06 | $84.06 | |
Cigna
| Professional | $66.06 | $66.06 | $346.12 | |
Molina
| Professional | $32.34 | $32.34 | $88.49 | |
United
| Professional | $63.24 | $81.23 | $122.54 |