| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $434.35 | $659.89 | $1,104.98 | |
BCBS
| Professional | $84.76 | $84.76 | $84.76 | |
Cigna
| Facility | $542.66 | $542.66 | $1,294.77 | |
Cigna
| Professional | $396.14 | $542.66 | $1,327.88 | |
Hally Health
| Professional | $96.06 | $113.01 | $140.13 | |
Molina
| Professional | $827.63 | $827.63 | $827.63 | |
United
| Professional | $438.86 | $561.16 | $995.38 |