| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $277.39 | $993.00 | $1,831.00 | |
Aetna
| Professional | $127.18 | $206.50 | $313.39 | |
BCBS
| Facility | $1,292.64 | $1,292.64 | $1,292.64 | |
BCBS
| Professional | $527.00 | $527.00 | $527.00 | |
Cigna
| Facility | $1,110.68 | $1,243.39 | $3,172.34 | |
Cigna
| Professional | $167.95 | $260.95 | $485.52 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $717.00 | $2,148.00 | $6,612.00 | |
United
| Professional | $129.15 | $221.19 | $493.73 |