| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $64.04 | $784.00 | $1,831.00 | |
Aetna
| Professional | $42.56 | $70.23 | $108.37 | |
BCBS
| Professional | $128.00 | $128.00 | $128.00 | |
Cigna
| Professional | $43.78 | $78.15 | $146.69 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $225.00 | $513.00 | $1,581.00 | |
United
| Professional | $68.09 | $84.13 | $164.33 |