| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $203.95 | $227.26 | $1,381.74 | |
Aetna
| Professional | $227.26 | $227.26 | $253.48 | |
BCBS
| Facility | $1,793.74 | $1,793.74 | $1,916.92 | |
BCBS
| Professional | $265.00 | $291.36 | $398.43 | |
Cigna
| Facility | $529.51 | $717.75 | $1,661.24 | |
Cigna
| Professional | $132.31 | $135.61 | $907.60 | |
Medcost
| Facility | $227.26 | $291.80 | $501.14 | |
Molina
| Professional | $160.25 | $160.25 | $160.25 | |
United
| Professional | $122.37 | $174.82 | $291.36 |