| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.83 | $502.94 | $557.90 | |
Aetna
| Professional | $217.12 | $502.94 | $557.90 | |
BCBS
| Facility | $302.00 | $302.00 | $302.00 | |
BCBS
| Professional | $302.00 | $302.00 | $302.00 | |
Cigna
| Facility | $178.64 | $178.64 | $187.57 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $103.54 | $147.91 | $378.25 |