| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $181.97 | $1,819.70 | $2,818.38 | |
Aetna
| Professional | $181.97 | $208.93 | $478.63 | |
BCBS
| Professional | $416.87 | $416.87 | $416.87 | |
Cigna
| Professional | $234.42 | $309.03 | $398.11 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $630.96 | $1,380.38 | $4,073.80 | |
United
| Professional | $173.78 | $239.88 | $446.68 |