| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $501.19 | $562.34 | |
Aetna
| Professional | $204.17 | $223.87 | $501.19 | |
BCBS
| Facility | $100.00 | $100.00 | $100.00 | |
BCBS
| Professional | $100.00 | $100.00 | $100.00 | |
Cigna
| Facility | $177.83 | $177.83 | $186.21 | |
Molina
| Professional | $16.98 | $21.38 | $50.12 | |
United
| Facility | $245.47 | $245.47 | $331.13 | |
United
| Professional | $114.82 | $165.96 | $616.60 |