| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $303.00 | $303.00 | $3,000.00 | |
BCBS
| Facility | $82.61 | $85.64 | $114.19 | |
Cigna
| Facility | $222.77 | $355.26 | $442.75 | |
Medcost
| Facility | $77.93 | $85.72 | $132.47 | |
Medcost
| Professional | $65.98 | $65.98 | $65.98 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |