| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.35 | $503.89 | $680.25 | |
Aetna
| Professional | $206.51 | $206.51 | $206.51 | |
BCBS
| Facility | $99.73 | $99.73 | $99.73 | |
BCBS
| Professional | $99.73 | $99.73 | $99.73 | |
Cigna
| Facility | $178.98 | $178.98 | $187.93 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $115.65 | $165.21 | $468.10 |