| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $549.54 | $616.60 | |
Aetna
| Professional | $223.87 | $245.47 | $549.54 | |
BCBS
| Facility | $389.05 | $407.38 | $407.38 | |
Cigna
| Facility | $194.98 | $194.98 | $204.17 | |
Molina
| Professional | $39.81 | $39.81 | $39.81 | |
United
| Facility | $269.15 | $269.15 | $363.08 | |
United
| Professional | $125.89 | $181.97 | $676.08 |