| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $295.12 | $295.12 | $436.52 | |
Aetna
| Professional | $288.40 | $295.12 | $436.52 | |
BCBS
| Professional | $37.15 | $37.15 | $37.15 | |
Cigna
| Facility | $309.03 | $309.03 | $309.03 | |
Cigna
| Professional | $309.03 | $309.03 | $309.03 | |
Molina
| Professional | $42.66 | $42.66 | $50.12 | |
United
| Professional | $263.03 | $302.00 | $467.74 |