| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $390.75 | $711.17 | $781.50 | |
Aetna
| Professional | $308.69 | $425.92 | $742.43 | |
BCBS
| Facility | $390.75 | $390.75 | $390.75 | |
BCBS
| Professional | $390.75 | $390.75 | $390.75 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $164.12 | $195.38 | $586.13 |