| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $639.79 | $712.92 | $4,334.55 | |
Aetna
| Professional | $712.92 | $712.92 | $795.18 | |
BCBS
| Facility | $941.41 | $959.71 | $5,626.97 | |
BCBS
| Professional | $914.00 | $914.00 | $1,249.90 | |
Cigna
| Facility | $1,661.10 | $2,649.69 | $5,211.45 | |
Cigna
| Professional | $416.76 | $667.66 | $2,086.44 | |
Medcost
| Facility | $712.92 | $914.00 | $1,188.20 | |
Medcost
| Professional | $914.00 | $914.00 | $914.00 | |
Molina
| Professional | $502.70 | $502.70 | $723.89 | |
United
| Facility | $822.60 | $914.00 | $914.00 | |
United
| Professional | $383.88 | $548.40 | $914.00 |