| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $59.35 | $59.35 | $86.86 | |
Aetna
| Professional | $57.90 | $60.08 | $86.86 | |
BCBS
| Facility | $91.69 | $91.69 | $100.86 | |
BCBS
| Professional | $68.62 | $68.62 | $68.62 | |
Cigna
| Facility | $61.52 | $61.52 | $61.52 | |
Cigna
| Professional | $61.52 | $61.52 | $66.79 | |
Molina
| Professional | $1,000.00 | $1,000.00 | $1,000.00 | |
United
| Professional | $55.49 | $60.32 | $76.92 |