| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $597.91 | $1,094.18 | $1,213.76 | |
Aetna
| Professional | $472.35 | $1,094.18 | $1,213.76 | |
BCBS
| Facility | $597.91 | $597.91 | $597.91 | |
BCBS
| Professional | $597.91 | $597.91 | $597.91 | |
Cigna
| Facility | $388.64 | $408.07 | $453.54 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Facility | $538.12 | $538.12 | $597.91 | |
United
| Professional | $251.12 | $358.75 | $1,016.45 |