| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $211.21 | $211.21 | $217.88 | |
Aetna
| Professional | $211.21 | $213.43 | $249.36 | |
BCBS
| Professional | $37.17 | $37.17 | $37.17 | |
Cigna
| Facility | $306.00 | $306.00 | $306.00 | |
Cigna
| Professional | $306.00 | $306.00 | $306.00 | |
Molina
| Professional | $17.00 | $17.00 | $20.00 | |
United
| Professional | $288.00 | $300.00 | $390.00 |