| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $291.47 | $784.00 | $1,831.00 | |
Aetna
| Professional | $191.77 | $291.47 | $643.79 | |
BCBS
| Facility | $1,065.94 | $1,065.94 | $1,065.94 | |
BCBS
| Professional | $527.00 | $527.00 | $527.00 | |
Cigna
| Facility | $1,014.96 | $1,014.96 | $2,447.41 | |
Cigna
| Professional | $204.66 | $345.95 | $562.30 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $610.00 | $1,354.00 | $4,939.00 | |
United
| Professional | $292.48 | $335.65 | $730.09 |