| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $235.00 | $936.14 | $1,248.19 | |
Cigna
| Facility | $834.27 | $4,688.88 | $4,783.06 | |
Medcost
| Professional | $187.72 | $187.72 | $187.72 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $235.00 | $235.00 | $235.00 |