| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $503.40 | $921.22 | $1,021.90 | |
Aetna
| Professional | $397.69 | $397.69 | $397.69 | |
BCBS
| Facility | $97.00 | $97.00 | $97.00 | |
BCBS
| Professional | $97.00 | $97.00 | $97.00 | |
Cigna
| Facility | $327.20 | $327.20 | $343.57 | |
Cigna
| Professional | $578.20 | $578.20 | $722.75 | |
Molina
| Professional | $17.00 | $20.00 | $20.00 | |
United
| Facility | $453.06 | $453.06 | $503.40 | |
United
| Professional | $211.43 | $251.70 | $755.10 |