| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $66.48 | $74.09 | $450.47 | |
Aetna
| Professional | $6.43 | $74.09 | $82.64 | |
BCBS
| Facility | $584.79 | $584.79 | $624.96 | |
BCBS
| Professional | $94.99 | $98.00 | $131.09 | |
Cigna
| Facility | $172.63 | $207.99 | $541.58 | |
Cigna
| Professional | $43.08 | $60.31 | $112.00 | |
Medcost
| Facility | $74.09 | $94.99 | $142.49 | |
Molina
| Professional | $52.24 | $52.24 | $52.24 | |
United
| Professional | $39.90 | $47.50 | $86.50 |