| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $260.68 | $391.25 | $391.25 | |
Aetna
| Professional | $215.30 | $296.22 | $376.20 | |
BCBS
| Professional | $57.00 | $57.00 | $57.00 | |
Cigna
| Facility | $415.05 | $415.05 | $415.05 | |
Cigna
| Professional | $224.49 | $308.67 | $370.41 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $253.07 | $373.80 | $690.51 |