| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $171.53 | $187.06 | $270.16 | |
Aetna
| Professional | $105.17 | $186.61 | $288.75 | |
BCBS
| Facility | $487.64 | $487.64 | $524.85 | |
BCBS
| Professional | $127.00 | $127.00 | $127.00 | |
Cigna
| Facility | $225.03 | $225.03 | $225.03 | |
Cigna
| Professional | $118.46 | $155.47 | $173.04 | |
Molina
| Professional | $42.50 | $50.00 | $93.29 | |
United
| Professional | $94.56 | $142.10 | $242.93 |