| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $327.83 | $327.83 | $2,221.02 | |
Aetna
| Professional | $327.83 | $327.83 | $327.83 | |
BCBS
| Professional | $468.33 | $491.75 | $646.29 | |
Cigna
| Facility | $851.13 | $1,153.71 | $2,670.28 | |
Medcost
| Facility | $365.30 | $468.33 | $562.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $196.70 | $234.17 | $426.47 |