| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.73 | $750.00 | $1,831.00 | |
Aetna
| Professional | $59.95 | $122.20 | $319.23 | |
Aetna
| Professional | 50 | $658.50 | $658.50 | $658.50 |
BCBS
| Professional | $177.00 | $177.00 | $177.00 | |
Cigna
| Professional | $76.45 | $134.90 | $232.48 | |
Molina
| Professional | $32.34 | $32.34 | $32.34 | |
United
| Facility | $216.00 | $491.00 | $1,650.00 | |
United
| Professional | $98.86 | $161.97 | $321.94 |