| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $900.00 | $1,831.00 | $2,825.00 | |
Aetna
| Professional | $1,434.31 | $2,020.63 | $4,404.71 | |
BCBS
| Professional | $4,361.50 | $4,361.50 | $4,361.50 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Facility | $1,185.00 | $5,800.00 | $14,043.00 | |
United
| Professional | $1,411.58 | $2,415.44 | $4,773.22 |