| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $275.39 | $275.39 | $305.69 | |
Aetna
| Professional | $275.39 | $275.39 | $305.69 | |
BCBS
| Facility | $210.60 | $210.60 | $210.60 | |
Cigna
| Facility | $302.39 | $302.39 | $302.39 | |
Cigna
| Professional | $302.39 | $302.39 | $302.39 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $247.34 | $279.49 | $324.00 |