| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $109.71 | $429.00 | $1,421.18 | |
Aetna
| Professional | $309.92 | $321.26 | $510.23 | |
BCBS
| Professional | $326.00 | $326.00 | $326.00 | |
Cigna
| Professional | $256.25 | $256.25 | $256.25 | |
Molina
| Professional | $177.98 | $177.98 | $197.76 | |
United
| Professional | $344.69 | $359.05 | $466.77 |