| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $81.28 | $954.99 | $1,995.26 | |
Aetna
| Professional | $72.44 | $85.11 | $165.96 | |
BCBS
| Professional | $162.18 | $162.18 | $162.18 | |
Cigna
| Professional | $74.13 | $125.89 | $181.97 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $575.44 | $1,513.56 | |
United
| Professional | $81.28 | $102.33 | $177.83 |