| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.06 | $918.48 | $1,831.00 | |
Aetna
| Professional | $178.42 | $515.24 | $931.46 | |
BCBS
| Facility | $365.57 | $365.57 | $365.57 | |
BCBS
| Professional | $576.00 | $576.00 | $576.00 | |
Cigna
| Facility | $326.83 | $326.83 | $2,133.60 | |
Cigna
| Professional | $224.93 | $368.67 | $598.78 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $610.00 | $1,305.00 | $3,046.00 | |
United
| Professional | $299.76 | $440.69 | $684.08 |