| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $269.15 | $363.08 | $363.08 | |
Aetna
| Professional | $223.87 | $295.12 | $380.19 | |
BCBS
| Facility | $53.70 | $53.70 | $60.26 | |
BCBS
| Professional | $40.74 | $40.74 | $40.74 | |
Cigna
| Facility | $316.23 | $316.23 | $316.23 | |
Cigna
| Professional | $269.15 | $269.15 | $269.15 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $23.44 | $39.81 | $1,288.25 | |
United
| Professional | $15.49 | $23.44 | $41.69 |