| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $146.05 | $750.00 | $1,831.00 | |
Aetna
| Professional | $86.30 | $216.23 | $477.61 | |
BCBS
| Facility | $757.01 | $757.01 | $1,005.54 | |
BCBS
| Professional | $686.00 | $686.00 | $686.00 | |
Cigna
| Professional | $128.18 | $247.95 | $528.25 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $950.00 | $3,986.00 | |
United
| Professional | $247.21 | $335.20 | $676.28 |