| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,519.06 | $2,779.88 | $3,083.69 | |
Aetna
| Professional | $1,200.06 | $2,779.88 | $3,083.69 | |
BCBS
| Facility | $74.00 | $74.00 | $74.00 | |
BCBS
| Professional | $74.00 | $74.00 | $74.00 | |
Cigna
| Facility | $987.39 | $987.39 | $1,036.76 | |
Molina
| Professional | $17.00 | $20.00 | $42.50 | |
United
| Professional | $638.01 | $911.44 | $2,592.98 |