| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $479.62 | $935.84 | $1,526.59 | |
Aetna
| Professional | $450.37 | $479.62 | $555.66 | |
BCBS
| Facility | $684.33 | $818.86 | $1,035.27 | |
Cigna
| Facility | $741.99 | $1,399.10 | $2,692.24 | |
Cigna
| Professional | $701.88 | $712.27 | $853.38 | |
Molina
| Professional | $30.00 | $30.00 | $859.80 | |
United
| Facility | $584.90 | $584.90 | $584.90 | |
United
| Professional | $245.66 | $350.94 | $614.73 |