| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $688.30 | $1,214.64 | $1,701.44 | |
BCBS
| Professional | $159.51 | $159.51 | $191.41 | |
Cigna
| Facility | $2,069.58 | $2,069.58 | $2,069.58 | |
Cigna
| Professional | $169.88 | $1,743.98 | $3,079.69 | |
Hally Health
| Professional | $100.00 | $200.00 | $309.07 | |
Molina
| Professional | $239.27 | $319.02 | $1,461.88 | |
United
| Professional | $830.80 | $1,112.66 | $1,868.60 |