| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $523.87 | $523.87 | $3,549.14 | |
Aetna
| Professional | $523.87 | $523.87 | $523.87 | |
BCBS
| Professional | $748.39 | $785.81 | $1,032.78 | |
Cigna
| Facility | $1,360.11 | $1,843.65 | $4,267.14 | |
Medcost
| Facility | $583.74 | $748.39 | $898.07 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $314.32 | $374.20 | $681.49 |