| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $463.62 | $516.61 | $3,140.99 | |
Aetna
| Professional | $516.61 | $516.61 | $529.86 | |
BCBS
| Professional | $662.32 | $662.32 | $905.72 | |
Cigna
| Facility | $1,203.71 | $1,631.63 | $3,776.43 | |
Medcost
| Facility | $463.62 | $662.32 | $821.28 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $278.17 | $397.39 | $662.32 |