| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89.13 | $102.33 | $102.33 | |
Aetna
| Professional | $60.26 | $102.33 | $218.78 | |
BCBS
| Facility | $446.68 | $446.68 | $446.68 | |
BCBS
| Professional | $120.23 | $120.23 | $120.23 | |
Cigna
| Facility | $234.42 | $234.42 | $234.42 | |
Molina
| Professional | $21.38 | $25.12 | $50.12 | |
United
| Facility | $218.78 | $537.03 | $776.25 | |
United
| Professional | $47.86 | $177.83 | $245.47 |