| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $148.46 | $750.00 | $1,831.00 | |
Aetna
| Professional | $91.92 | $153.72 | $389.33 | |
BCBS
| Facility | $410.58 | $410.58 | $410.58 | |
BCBS
| Professional | $194.00 | $194.00 | $194.00 | |
Cigna
| Facility | $343.53 | $384.58 | $425.17 | |
Cigna
| Professional | $120.04 | $193.56 | $326.20 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $455.00 | $870.00 | $3,779.00 | |
United
| Professional | $139.88 | $208.57 | $414.31 |