| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $232.50 | $232.50 | $391.37 | |
Aetna
| Professional | $138.21 | $249.72 | $391.37 | |
BCBS
| Facility | $872.95 | $872.95 | $960.25 | |
BCBS
| Professional | $255.00 | $255.00 | $255.00 | |
Cigna
| Facility | $415.05 | $415.05 | $415.05 | |
Cigna
| Professional | $159.69 | $209.59 | $346.08 | |
Molina
| Professional | $42.50 | $50.00 | $139.91 | |
United
| Professional | $141.63 | $211.77 | $343.25 |