| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $124.16 | $2,024.11 | $9,062.00 | |
Aetna
| Professional | $87.70 | $208.31 | $310.75 | |
BCBS
| Facility | $784.48 | $1,806.69 | $4,098.22 | |
BCBS
| Professional | $103.88 | $263.00 | $433.54 | |
Cigna
| Facility | $180.85 | $780.00 | $781.44 | |
Cigna
| Professional | $124.98 | $247.86 | $468.39 | |
Medcost
| Facility | $124.16 | $297.54 | $465.59 | |
Medcost
| Professional | $671.62 | $671.62 | $671.62 | |
Molina
| Professional | $219.46 | $297.71 | $456.15 | |
United
| Facility | $490.00 | $3,866.00 | $6,584.00 | |
United
| Professional | $200.57 | $257.24 | $584.39 |