| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $366.00 | $406.00 | |
Aetna
| Professional | $158.00 | $366.00 | $406.00 | |
BCBS
| Facility | $300.00 | $300.00 | $300.00 | |
Cigna
| Facility | $130.00 | $130.00 | $136.50 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $84.00 | $120.00 | $300.00 |