| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $466.17 | $853.09 | $1,151.67 | |
Aetna
| Professional | $368.27 | $368.27 | $368.27 | |
BCBS
| Facility | $606.02 | $629.33 | $629.33 | |
BCBS
| Professional | $2,059.51 | $2,059.51 | $2,059.51 | |
Cigna
| Facility | $303.01 | $318.16 | $353.61 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $195.79 | $279.70 | $795.74 |