| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $105.61 | $900.00 | $1,831.00 | |
Aetna
| Professional | $68.48 | $106.12 | $233.28 | |
BCBS
| Facility | $115.41 | $115.41 | $115.41 | |
BCBS
| Professional | $177.00 | $177.00 | $177.00 | |
Cigna
| Facility | $88.68 | $88.68 | $1,437.37 | |
Cigna
| Professional | $71.78 | $122.10 | $219.00 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $858.00 | $1,957.00 | |
United
| Professional | $103.94 | $129.91 | $262.99 |