| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $525.00 | $585.00 | $3,556.80 | |
Aetna
| Professional | $585.00 | $585.00 | $652.50 | |
BCBS
| Professional | $750.00 | $787.50 | $1,025.63 | |
Cigna
| Facility | $1,363.05 | $2,174.25 | $4,276.35 | |
Cigna
| Professional | $861.93 | $861.93 | $1,077.41 | |
Medcost
| Facility | $562.50 | $645.00 | $994.50 | |
Medcost
| Professional | $750.00 | $750.00 | $750.00 | |
Molina
| Professional | $1,500.00 | $1,500.00 | $1,500.00 | |
United
| Professional | $315.00 | $450.00 | $900.00 |