| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.10 | $487.18 | $675.55 | |
Aetna
| Professional | $450.10 | $511.48 | $1,046.78 | |
BCBS
| Professional | $299.00 | $299.00 | $299.00 | |
Cigna
| Professional | $29.18 | $40.11 | $588.20 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $818.63 | $1,076.09 | $1,685.07 |