| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $489.78 | $812.83 | |
Aetna
| Professional | $446.68 | $512.86 | $812.83 | |
BCBS
| Professional | $43.65 | $43.65 | $43.65 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Molina
| Professional | $38.02 | $38.02 | $44.67 | |
United
| Facility | $2,344.23 | $3,715.35 | $5,370.32 | |
United
| Professional | $630.96 | $812.83 | $1,148.15 |