| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $114.35 | $487.34 | $16,467.00 | |
Aetna
| Professional | $101.81 | $159.40 | $240.98 | |
BCBS
| Facility | $584.09 | $1,136.88 | $1,835.00 | |
BCBS
| Professional | $99.03 | $207.50 | $274.80 | |
Cigna
| Facility | $580.00 | $580.00 | $580.00 | |
Cigna
| Professional | $108.41 | $161.69 | $244.46 | |
Medcost
| Facility | $104.29 | $169.61 | $256.64 | |
Molina
| Professional | $131.36 | $163.28 | $225.56 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $130.86 | $172.94 | $302.64 |