| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $602.56 | $1,096.48 | $1,202.26 | |
Aetna
| Professional | $446.68 | $478.63 | $1,096.48 | |
BCBS
| Facility | $602.56 | $602.56 | $602.56 | |
BCBS
| Professional | $602.56 | $602.56 | $602.56 | |
Cigna
| Facility | $389.05 | $407.38 | $457.09 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $537.03 | $537.03 | $724.44 | |
United
| Professional | $251.19 | $354.81 | $1,348.96 |