| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $1,819.70 | $4,786.30 | |
Aetna
| Professional | $39.81 | $39.81 | $39.81 | |
BCBS
| Professional | $912.01 | $912.01 | $912.01 | |
Cigna
| Professional | $23.99 | $23.99 | $23.99 | |
Molina
| Professional | $21.38 | $38.02 | $50.12 | |
United
| Facility | $724.44 | $1,445.44 | $4,073.80 |