| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $134.50 | $294.44 | $294.44 | |
Aetna
| Professional | $202.50 | $294.44 | $326.83 | |
BCBS
| Facility | $210.33 | $210.33 | $210.33 | |
Cigna
| Facility | $207.56 | $323.87 | $323.87 | |
Cigna
| Professional | $323.87 | $323.87 | $323.87 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $289.17 | $326.76 | $346.40 |