| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $333.90 | $333.90 | $381.60 | |
Aetna
| Professional | $318.00 | $333.90 | $381.60 | |
BCBS
| Professional | $55.25 | $55.25 | $55.25 | |
Cigna
| Facility | $318.00 | $318.00 | $318.00 | |
Cigna
| Professional | $318.00 | $318.00 | $318.00 | |
Molina
| Professional | $17.00 | $25.00 | $50.00 | |
United
| Professional | $286.20 | $318.00 | $413.40 |