| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $198.02 | $220.65 | $1,341.55 | |
Aetna
| Professional | $220.65 | $220.65 | $226.30 | |
BCBS
| Professional | $282.88 | $297.02 | $390.37 | |
Cigna
| Facility | $514.10 | $696.87 | $1,612.91 | |
Medcost
| Facility | $220.65 | $282.88 | $357.45 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $118.81 | $141.44 | $257.58 |