| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $140.00 | $537.51 | $853.63 | |
Aetna
| Professional | $156.00 | $156.00 | $160.00 | |
BCBS
| Professional | $200.00 | $210.00 | $276.00 | |
Cigna
| Facility | $363.48 | $492.70 | $1,140.35 | |
Medcost
| Facility | $156.00 | $200.00 | $240.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $84.00 | $120.00 | $170.00 |