| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.50 | $7,943.28 | $16,595.87 | |
Aetna
| Professional | $74.13 | $87.10 | $138.04 | |
BCBS
| Professional | $74.13 | $102.33 | $147.91 | |
Cigna
| Facility | $34.67 | $141.25 | $575.44 | |
Cigna
| Professional | $83.18 | $114.82 | $245.47 | |
Medcost
| Professional | $134.90 | $134.90 | $162.18 | |
Medcost
| Facility | $81.28 | $112.20 | $177.83 | |
Medcost
| Professional | $104.71 | $104.71 | $104.71 | |
Molina
| Professional | $32.36 | $32.36 | $33.11 | |
United
| Facility | $478.63 | $6,165.95 | $8,912.51 | |
United
| Professional | $69.18 | $93.33 | $169.82 |