| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.20 | $351.36 | $389.76 | |
Aetna
| Professional | $151.68 | $351.36 | $389.76 | |
BCBS
| Facility | $499.20 | $518.40 | $518.40 | |
Cigna
| Facility | $124.80 | $124.80 | $131.04 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $80.64 | $115.20 | $327.74 |