| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $478.63 | $891.25 | $977.24 | |
Aetna
| Professional | $323.59 | $380.19 | $891.25 | |
BCBS
| Facility | $630.96 | $645.65 | $645.65 | |
BCBS
| Professional | $1,148.15 | $1,148.15 | $1,148.15 | |
Cigna
| Facility | $316.23 | $316.23 | $331.13 | |
Molina
| Professional | $16.98 | $21.38 | $42.66 | |
United
| Facility | $186.21 | $186.21 | $478.63 | |
United
| Professional | $87.10 | $123.03 | $467.74 |