| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $95.33 | $520.00 | $574.60 | |
Aetna
| Professional | $95.33 | $97.78 | $208.38 | |
BCBS
| Facility | $836.04 | $836.04 | $893.46 | |
BCBS
| Professional | $122.22 | $134.00 | $188.34 | |
Cigna
| Facility | $222.11 | $301.08 | $696.85 | |
Cigna
| Professional | $55.54 | $77.37 | $472.88 | |
Medcost
| Facility | $95.33 | $166.74 | $210.22 | |
Molina
| Professional | $67.22 | $67.22 | $67.22 | |
United
| Facility | $122.22 | $122.22 | $122.22 | |
United
| Professional | $51.33 | $83.16 | $125.06 |