| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.32 | $784.00 | $1,831.00 | |
Aetna
| Professional | $69.98 | $106.32 | $234.83 | |
BCBS
| Professional | $157.00 | $157.00 | $157.00 | |
Cigna
| Professional | $82.16 | $133.33 | $217.69 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $110.68 | $134.52 | $275.52 |