| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,743.95 | $3,191.43 | $4,308.43 | |
Aetna
| Professional | $883.20 | $883.20 | $883.20 | |
BCBS
| Facility | $1,156.41 | $1,156.41 | $1,156.41 | |
BCBS
| Professional | $1,156.41 | $1,156.41 | $1,156.41 | |
Cigna
| Facility | $848.05 | $1,133.57 | $1,190.25 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $469.55 | $670.79 | $1,908.36 |