| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $170.75 | $784.00 | $1,831.00 | |
Aetna
| Professional | $114.27 | $177.27 | $288.95 | |
BCBS
| Facility | $165.15 | $165.15 | $165.15 | |
BCBS
| Professional | $304.00 | $304.00 | $304.00 | |
Cigna
| Facility | $110.46 | $110.46 | $492.36 | |
Cigna
| Professional | $118.77 | $209.55 | $377.40 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $529.00 | $1,739.00 | |
United
| Professional | $168.03 | $219.37 | $429.31 |