| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,704.50 | $1,899.30 | $11,547.70 | |
Aetna
| Professional | $1,899.30 | $1,899.30 | $1,948.00 | |
BCBS
| Professional | $2,435.00 | $2,435.00 | $3,329.86 | |
Cigna
| Facility | $4,425.37 | $5,998.62 | $13,883.88 | |
Medcost
| Facility | $1,704.50 | $2,435.00 | $3,019.40 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $1,022.70 | $1,388.88 | $2,435.00 |