| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.88 | $4,897.79 | $16,595.87 | |
Aetna
| Professional | $85.11 | $223.87 | $363.08 | |
BCBS
| Professional | $79.43 | $213.80 | $316.23 | |
Cigna
| Professional | $107.15 | $239.88 | $489.78 | |
Medcost
| Facility | $100.00 | $239.88 | $602.56 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $380.19 | $1,202.26 | $3,548.13 | |
United
| Professional | $91.20 | $257.04 | $512.86 |