| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $50.00 | $50.00 | $50.00 | |
Aetna
| Professional | $35.00 | $50.00 | $529.27 | |
BCBS
| Professional | $129.01 | $266.00 | $527.66 | |
Cigna
| Professional | $330.00 | $378.00 | $468.00 | |
Molina
| Professional | $110.58 | $420.00 | $1,500.00 | |
Providence
| Professional | $330.00 | $468.00 | $582.75 | |
United
| Professional | $47.00 | $60.00 | $95.00 |