| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $178.43 | $314.88 | $503.79 | |
BCBS
| Professional | $41.07 | $41.07 | $41.07 | |
Cigna
| Facility | $347.16 | $347.16 | $636.48 | |
Cigna
| Professional | $295.08 | $357.57 | $641.25 | |
Hally Health
| Professional | $46.55 | $54.76 | $82.14 | |
Molina
| Professional | $397.70 | $397.70 | $397.70 | |
United
| Professional | $210.75 | $273.98 | $504.82 |