| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $337.50 | $337.50 | $2,286.51 | |
Aetna
| Professional | $337.50 | $337.50 | $337.50 | |
BCBS
| Professional | $482.14 | $506.25 | $665.35 | |
Cigna
| Facility | $766.21 | $977.78 | $2,749.06 | |
Medcost
| Facility | $376.07 | $482.14 | $578.57 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $87.07 | $124.39 | $248.77 |