| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $398.11 | $398.11 | $398.11 | |
BCBS
| Facility | $234.42 | $1,348.96 | $2,238.72 | |
Cigna
| Facility | $831.76 | $3,090.30 | $4,570.88 | |
Medcost
| Facility | $42.66 | $61.66 | $489.78 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $234.42 | $3,890.45 | $5,888.44 |