| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.84 | $784.00 | $1,831.00 | |
Aetna
| Professional | $78.81 | $133.38 | $271.33 | |
BCBS
| Facility | $114.78 | $114.78 | $114.78 | |
BCBS
| Professional | $192.00 | $192.00 | $192.00 | |
Cigna
| Facility | $100.06 | $100.06 | $254.12 | |
Cigna
| Professional | $83.27 | $144.31 | $275.70 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $129.46 | $160.27 | $310.18 |