| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $57.61 | $57.61 | $57.61 |
Aetna
| Professional | $219.93 | $219.93 | $240.29 | |
BCBS
| Professional | $236.28 | $465.00 | $609.75 | |
Cigna
| Professional | $320.54 | $378.37 | $644.11 | |
Medcost
| Facility | 26 | $109.25 | $124.00 | $228.21 |
Medcost
| Professional | $307.55 | $307.55 | $307.55 | |
Molina
| Professional | $62.29 | $182.08 | $270.84 | |
United
| Professional | $268.29 | $329.15 | $569.00 |