| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $486.54 | $890.37 | $1,202.00 | |
Aetna
| Professional | $384.37 | $384.37 | $384.37 | |
BCBS
| Facility | $344.00 | $344.00 | $344.00 | |
BCBS
| Professional | $344.00 | $344.00 | $344.00 | |
Cigna
| Facility | $316.25 | $316.25 | $332.06 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 | |
United
| Facility | $437.89 | $437.89 | $486.54 | |
United
| Professional | $204.35 | $291.92 | $729.81 |