| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.87 | $954.99 | $1,995.26 | |
Aetna
| Professional | $173.78 | $478.63 | $933.25 | |
BCBS
| Professional | $234.42 | $234.42 | $234.42 | |
Cigna
| Professional | $223.87 | $426.58 | $1,548.82 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $338.84 | $588.84 | $1,659.59 | |
United
| Professional | $177.83 | $660.69 | $1,584.89 |