| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $235.64 | $816.91 | $1,387.20 | |
Aetna
| Professional | $186.53 | $209.84 | $330.47 | |
BCBS
| Facility | $302.74 | $539.22 | $907.33 | |
BCBS
| Professional | $130.00 | $139.01 | $231.23 | |
Cigna
| Facility | $658.85 | $858.38 | $1,322.36 | |
Cigna
| Professional | $132.00 | $306.18 | $497.61 | |
Medcost
| Facility | $127.00 | $195.33 | $579.53 | |
Medcost
| Professional | $197.21 | $197.21 | $197.21 | |
Molina
| Professional | $143.60 | $153.58 | $183.64 | |
United
| Professional | $190.62 | $287.02 | $441.84 |