| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,916.60 | $5,337.38 | $7,205.46 | |
BCBS
| Facility | $74.00 | $74.00 | $74.00 | |
BCBS
| Professional | $74.00 | $74.00 | $74.00 | |
Cigna
| Facility | $1,895.79 | $1,990.58 | $2,212.39 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $1,224.97 | $1,749.96 | $4,374.89 |