| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $431.67 | $761.64 | $1,057.04 | |
BCBS
| Professional | $118.92 | $118.92 | $118.92 | |
Cigna
| Facility | $867.37 | $867.37 | $1,332.85 | |
Cigna
| Professional | $602.16 | $867.37 | $1,530.00 | |
Hally Health
| Professional | $100.00 | $136.52 | $204.79 | |
Molina
| Professional | $148.65 | $198.20 | $968.65 | |
United
| Professional | $513.16 | $693.25 | $1,190.34 |