| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $132.40 | $507.92 | $9,727.00 | |
Aetna
| Professional | $117.87 | $178.59 | $318.02 | |
BCBS
| Facility | $209.55 | $405.05 | $626.27 | |
BCBS
| Professional | $118.13 | $209.00 | $275.88 | |
Cigna
| Professional | $124.54 | $173.38 | $254.09 | |
Medcost
| Facility | $117.87 | $186.24 | $260.52 | |
Molina
| Professional | $120.94 | $162.87 | $231.82 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 | |
United
| Professional | $138.19 | $182.73 | $452.56 |