| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $140.00 | $140.00 | |
Aetna
| Professional | $140.00 | $140.00 | $140.00 | |
BCBS
| Facility | $387.45 | $387.45 | $426.20 | |
BCBS
| Professional | $369.00 | $369.00 | $369.00 | |
Cigna
| Facility | $223.29 | $223.29 | $223.29 | |
Cigna
| Professional | $163.00 | $163.00 | $223.29 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 | |
United
| Professional | $113.76 | $170.65 | $270.19 |