| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.09 | $851.14 | $1,348.96 | |
Aetna
| Professional | $218.78 | $218.78 | $218.78 | |
BCBS
| Facility | $812.83 | $912.01 | $1,122.02 | |
Cigna
| Facility | $645.65 | $645.65 | $707.95 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $645.65 | $645.65 | $776.25 | |
United
| Professional | $38.02 | $43.65 | $75.86 |