| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.64 | $993.00 | $2,010.00 | |
Aetna
| Professional | $48.76 | $67.64 | $78.91 | |
BCBS
| Facility | $53.90 | $53.90 | $53.90 | |
BCBS
| Professional | $93.00 | $93.00 | $93.00 | |
Cigna
| Facility | $31.66 | $31.66 | $31.66 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $63.81 | $86.54 | $187.48 |