| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $1,513.56 | $2,570.40 | |
Aetna
| Professional | $112.20 | $158.49 | $263.03 | |
BCBS
| Professional | $251.19 | $251.19 | $251.19 | |
Cigna
| Professional | $131.83 | $213.80 | $331.13 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $588.84 | $1,659.59 | |
United
| Professional | $131.83 | $177.83 | $302.00 |