| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $82.78 | $784.00 | $1,831.00 | |
Aetna
| Professional | $58.70 | $82.78 | $182.84 | |
BCBS
| Facility | $286.13 | $286.13 | $286.13 | |
BCBS
| Professional | $146.00 | $146.00 | $146.00 | |
Cigna
| Facility | $254.12 | $254.12 | $254.12 | |
Cigna
| Professional | $61.46 | $101.10 | $174.36 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $81.62 | $101.35 | $202.08 |