| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $327.20 | $529.09 | $805.30 | |
BCBS
| Professional | $67.22 | $67.22 | $67.22 | |
Cigna
| Facility | $369.39 | $369.39 | $975.39 | |
Cigna
| Professional | $269.64 | $369.39 | $1,046.63 | |
Hally Health
| Professional | $72.22 | $89.62 | $111.13 | |
Molina
| Professional | $733.52 | $733.52 | $733.52 | |
United
| Professional | $362.85 | $481.19 | $787.48 |