| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.44 | $126.44 | $130.43 | |
Aetna
| Professional | $88.25 | $126.44 | $133.90 | |
BCBS
| Facility | $19.00 | $19.00 | $19.00 | |
BCBS
| Professional | $19.00 | $19.00 | $19.00 | |
Cigna
| Professional | $62.01 | $62.01 | $112.04 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $42.97 | $72.16 | $156.74 |