| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $38.76 | $784.00 | $2,010.00 | |
Aetna
| Professional | $37.11 | $85.62 | $162.52 | |
BCBS
| Facility | $112.61 | $112.61 | $112.61 | |
BCBS
| Professional | $117.00 | $117.00 | $117.00 | |
Cigna
| Facility | $84.67 | $84.67 | $254.12 | |
Cigna
| Professional | $40.04 | $89.35 | $167.53 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $87.68 | $110.42 | $238.96 |