| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,201.00 | $1,201.00 | $1,201.00 | |
BCBS
| Facility | $936.14 | $950.51 | $1,248.19 | |
Cigna
| Facility | $4,403.12 | $4,688.88 | $4,783.06 | |
Medcost
| Facility | $1,201.00 | $1,201.00 | $1,561.30 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $950.50 | $950.50 | $1,102.58 |