| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $549.54 | $758.58 | |
Aetna
| Professional | $389.05 | $467.74 | $575.44 | |
BCBS
| Facility | $489.78 | $489.78 | $537.03 | |
BCBS
| Professional | $125.89 | $125.89 | $125.89 | |
Cigna
| Facility | $223.87 | $223.87 | $223.87 | |
Cigna
| Professional | $131.83 | $446.68 | $758.58 | |
Molina
| Professional | $25.12 | $44.67 | $79.43 | |
United
| Facility | $245.47 | $389.05 | $562.34 | |
United
| Professional | $371.54 | $524.81 | $831.76 |