| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $750.00 | $1,365.00 | $1,500.00 | |
Aetna
| Professional | $592.50 | $817.50 | $1,425.00 | |
BCBS
| Facility | $750.00 | $750.00 | $750.00 | |
BCBS
| Professional | $750.00 | $750.00 | $750.00 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Molina
| Professional | $40.00 | $40.00 | $40.00 | |
United
| Professional | $315.00 | $375.00 | $1,125.00 |