| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $840.65 | $1,529.98 | $1,681.30 | |
Aetna
| Professional | $664.11 | $916.31 | $1,597.24 | |
BCBS
| Facility | $840.65 | $840.65 | $840.65 | |
BCBS
| Professional | $840.65 | $840.65 | $840.65 | |
Cigna
| Professional | $966.01 | $966.01 | $1,207.51 | |
Molina
| Professional | $17.00 | $20.00 | $40.00 | |
United
| Professional | $353.07 | $420.33 | $1,434.96 |