| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.37 | $1,237.76 | $1,670.98 | |
Aetna
| Professional | $777.83 | $777.83 | $777.83 | |
BCBS
| Facility | $879.28 | $913.10 | $913.10 | |
BCBS
| Professional | $1,109.63 | $1,109.63 | $1,109.63 | |
Cigna
| Facility | $439.64 | $461.62 | $513.05 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $284.08 | $405.82 | $1,154.54 |