| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $1,202.26 | $1,202.26 | $1,202.26 | |
BCBS
| Facility | $954.99 | $1,148.15 | $2,238.72 | |
Cigna
| Facility | $954.99 | $4,365.16 | $4,786.30 | |
Medcost
| Facility | $1,202.26 | $1,318.26 | $2,630.27 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $954.99 | $954.99 | $954.99 |