| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $456.22 | $456.22 | $456.22 | |
Aetna
| Professional | $368.49 | $456.22 | $508.86 | |
BCBS
| Facility | $4,000.99 | $4,000.99 | $4,275.78 | |
BCBS
| Professional | $584.90 | $584.90 | $799.85 | |
Cigna
| Facility | $1,063.01 | $1,695.65 | $3,335.03 | |
Cigna
| Professional | $296.30 | $382.81 | $1,059.40 | |
Medcost
| Facility | $456.22 | $775.57 | $818.86 | |
Medcost
| Professional | $722.10 | $802.33 | $802.33 | |
Molina
| Professional | $321.70 | $321.70 | $463.24 | |
United
| Professional | $245.66 | $401.17 | $802.33 |