| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $123.03 | $954.99 | $1,995.26 | |
Aetna
| Professional | $75.86 | $120.23 | $208.93 | |
BCBS
| Facility | $114.82 | $114.82 | $114.82 | |
BCBS
| Professional | $190.55 | $190.55 | $190.55 | |
Cigna
| Facility | $100.00 | $100.00 | $257.04 | |
Cigna
| Professional | $79.43 | $144.54 | $275.42 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $269.15 | $549.54 | $1,621.81 | |
United
| Professional | $91.20 | $134.90 | $213.80 |