| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $248.87 | $784.00 | $1,831.00 | |
Aetna
| Professional | $177.21 | $277.00 | $609.91 | |
BCBS
| Facility | $697.58 | $697.58 | $697.58 | |
BCBS
| Professional | $452.00 | $452.00 | $452.00 | |
Cigna
| Facility | $680.07 | $680.07 | $2,202.96 | |
Cigna
| Professional | $202.90 | $291.67 | $431.43 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $610.00 | $1,305.00 | $3,046.00 | |
United
| Professional | $250.24 | $358.92 | $692.64 |