| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $97.83 | $352.38 | $2,148.58 | |
Aetna
| Professional | $437.96 | $437.96 | $437.96 | |
BCBS
| Facility | $3,099.14 | $3,099.14 | $3,311.98 | |
BCBS
| Professional | $503.40 | $503.40 | $688.40 | |
Cigna
| Facility | $914.88 | $1,459.36 | $2,870.29 | |
Cigna
| Professional | $525.00 | $525.00 | $656.25 | |
Medcost
| Facility | $377.55 | $453.06 | $667.51 | |
Medcost
| Professional | $151.71 | $503.40 | $503.40 | |
Molina
| Professional | $276.87 | $276.87 | $398.69 | |
United
| Professional | $211.43 | $302.04 | $604.08 |