| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.42 | $784.00 | $1,831.00 | |
Aetna
| Professional | $128.60 | $217.62 | $431.63 | |
BCBS
| Facility | $189.07 | $189.07 | $189.07 | |
BCBS
| Professional | $366.00 | $366.00 | $366.00 | |
Cigna
| Facility | $148.58 | $148.58 | $492.36 | |
Cigna
| Professional | $133.43 | $236.17 | $428.35 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $193.73 | $248.16 | $491.24 |