| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.42 | $501.19 | $562.34 | |
Aetna
| Professional | $199.53 | $218.78 | $501.19 | |
BCBS
| Facility | $302.00 | $302.00 | $302.00 | |
BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Facility | $177.83 | $177.83 | $186.21 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $223.87 | $223.87 | $295.12 | |
United
| Professional | $104.71 | $147.91 | $549.54 |