| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $433.76 | $839.17 | $1,303.09 | |
Cigna
| Facility | $609.91 | $972.64 | $1,127.00 | |
Medcost
| Professional | $206.43 | $206.43 | $206.43 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Professional | $47.92 | $47.92 | $47.92 |