| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.50 | $784.00 | $1,831.00 | |
Aetna
| Professional | $140.66 | $228.04 | $449.49 | |
BCBS
| Facility | $190.94 | $190.94 | $190.94 | |
BCBS
| Professional | $382.00 | $382.00 | $382.00 | |
Cigna
| Facility | $148.91 | $148.91 | $492.36 | |
Cigna
| Professional | $145.80 | $258.13 | $453.79 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $203.31 | $263.77 | $515.53 |