| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $202.88 | $784.00 | $1,831.00 | |
Aetna
| Professional | $163.33 | $221.28 | $431.35 | |
BCBS
| Facility | $1,065.94 | $1,065.94 | $1,065.94 | |
BCBS
| Professional | $492.00 | $492.00 | $492.00 | |
Cigna
| Facility | $1,014.96 | $1,014.96 | $2,239.23 | |
Cigna
| Professional | $180.21 | $300.60 | $457.81 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $610.00 | $1,305.00 | $3,046.00 | |
United
| Professional | $196.86 | $242.15 | $464.16 |