| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $281.84 | $512.86 | $575.44 | |
Aetna
| Professional | $213.80 | $229.09 | $512.86 | |
BCBS
| Facility | $346.74 | $346.74 | $346.74 | |
BCBS
| Professional | $346.74 | $346.74 | $346.74 | |
Cigna
| Facility | $181.97 | $181.97 | $194.98 | |
Molina
| Professional | $16.98 | $21.38 | $42.66 | |
United
| Facility | $257.04 | $257.04 | $338.84 | |
United
| Professional | $117.49 | $169.82 | $630.96 |