| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $100.00 | $100.00 | $100.00 | |
Aetna
| Professional | $100.00 | $100.00 | $100.00 | |
Anthem BCBS
| Professional | $0.14 | $0.15 | $0.26 | |
Cigna
| Professional | $162.18 | $162.18 | $204.17 | |
Molina
| Professional | $39.81 | $50.12 | $60.26 | |
SummaCare
| Professional | $60.26 | $60.26 | $60.26 | |
United
| Facility | $0.28 | $0.28 | $0.68 | |
United
| Professional | $0.28 | $0.72 | $0.72 |