| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $39.24 | $39.24 | $40.47 | |
Aetna
| Professional | $28.98 | $39.24 | $41.56 | |
BCBS
| Facility | $59.89 | $62.19 | $62.19 | |
BCBS
| Professional | $72.00 | $72.00 | $72.00 | |
Cigna
| Professional | $19.25 | $19.25 | $77.76 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $13.34 | $22.15 | $38.32 |