| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $282.88 | $517.66 | $574.25 | |
Aetna
| Professional | $223.48 | $517.66 | $574.25 | |
BCBS
| Facility | $344.00 | $344.00 | $344.00 | |
BCBS
| Professional | $344.00 | $344.00 | $344.00 | |
Cigna
| Facility | $183.87 | $183.87 | $193.06 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 | |
United
| Professional | $118.81 | $169.73 | $482.87 |