| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.00 | $410.00 | $600.00 | |
Aetna
| Professional | $410.00 | $600.00 | $675.00 | |
BCBS
| Professional | $37.17 | $37.17 | $37.17 | |
Cigna
| Facility | $432.81 | $432.81 | $432.81 | |
Cigna
| Professional | $432.81 | $432.81 | $432.81 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $475.00 | $500.00 | $650.00 |