| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $273.52 | $304.79 | $1,853.12 | |
Aetna
| Professional | $304.79 | $304.79 | $339.95 | |
BCBS
| Professional | $390.75 | $410.29 | $534.35 | |
Cigna
| Facility | $710.16 | $1,132.80 | $2,228.00 | |
Cigna
| Professional | $448.93 | $448.93 | $561.16 | |
Medcost
| Facility | $293.06 | $336.05 | $518.14 | |
Medcost
| Professional | $390.75 | $390.75 | $390.75 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $164.12 | $234.45 | $468.90 |