| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $334.39 | $334.39 | $344.95 | |
Aetna
| Professional | $334.39 | $337.91 | $375.18 | |
BCBS
| Professional | $609.12 | $609.12 | $609.12 | |
Cigna
| Facility | $358.29 | $358.29 | $358.29 | |
Cigna
| Professional | $358.29 | $358.29 | $358.29 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $649.73 | $676.80 | $879.84 |