| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $301.04 | $936.00 | $2,010.00 | |
Aetna
| Professional | $213.74 | $264.91 | $382.32 | |
BCBS
| Professional | $455.87 | $455.87 | $455.87 | |
Cigna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $690.00 | $1,223.00 | $4,093.00 | |
United
| Professional | $311.29 | $417.44 | $861.62 |