| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $485.83 | $485.83 | $817.81 | |
Aetna
| Professional | $392.34 | $485.83 | $817.81 | |
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 | $343.31 | $450.59 | $538.96 | |
Molina
| Professional | $42.50 | $50.00 | $485.06 | |
United
| Professional | $361.14 | $520.00 | $904.15 |