| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $1,502.00 | $4,786.00 | |
Aetna
| Professional | $40.00 | $40.00 | $2,719.84 | |
BCBS
| Professional | $902.12 | $902.12 | $902.12 | |
Cigna
| Professional | $24.00 | $24.00 | $24.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Facility | $690.00 | $1,236.00 | $5,253.00 |