| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.27 | $400.27 | $673.79 | |
Aetna
| Professional | $341.90 | $400.27 | $673.79 | |
BCBS
| Facility | $487.64 | $487.64 | $536.40 | |
BCBS
| Professional | $127.00 | $127.00 | $127.00 | |
Cigna
| Facility | $225.03 | $225.03 | $225.03 | |
Cigna
| Professional | $290.66 | $381.49 | $431.17 | |
Molina
| Professional | $42.50 | $50.00 | $388.05 | |
United
| Professional | $343.87 | $474.30 | $823.07 |