| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $71.23 | $71.23 | $71.23 |
Aetna
| Professional | $533.63 | $533.63 | $582.53 | |
BCBS
| Professional | $540.00 | $586.86 | $778.72 | |
Cigna
| Professional | $700.67 | $835.61 | $1,613.77 | |
Medcost
| Facility | 26 | $97.84 | $131.50 | $258.63 |
Medcost
| Professional | $1,066.15 | $1,066.15 | $1,066.15 | |
Molina
| Professional | $94.64 | $487.80 | $730.42 | |
United
| Professional | $641.58 | $838.11 | $1,390.90 |