| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.75 | $715.07 | $793.22 | |
Aetna
| Professional | $308.69 | $429.83 | $750.24 | |
BCBS
| Facility | $76.47 | $76.47 | $76.47 | |
BCBS
| Professional | $76.47 | $76.47 | $76.47 | |
Cigna
| Facility | $253.99 | $253.99 | $266.69 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Molina
| Professional | $17.00 | $20.00 | $20.00 | |
United
| Professional | $164.12 | $195.38 | $586.13 |