| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $122.37 | $286.49 | $746.11 | |
Aetna
| Professional | $136.35 | $136.35 | $152.08 | |
BCBS
| Facility | $1,076.20 | $1,076.20 | $1,150.11 | |
BCBS
| Professional | $155.00 | $164.75 | $239.05 | |
Cigna
| Facility | $317.70 | $430.66 | $996.76 | |
Cigna
| Professional | $79.40 | $83.20 | $239.34 | |
Medcost
| Facility | $136.35 | $174.81 | $253.47 | |
Molina
| Professional | $96.15 | $96.15 | $96.15 | |
United
| Professional | $73.42 | $104.89 | $174.81 |