| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $0.06 | $639.79 | |
Aetna
| Professional | $639.79 | $1,051.09 | $5,877.02 | |
BCBS
| Facility | $941.41 | $959.71 | $5,626.97 | |
BCBS
| Professional | $914.00 | $959.70 | $1,261.32 | |
Cigna
| Facility | $1,661.10 | $2,251.64 | $5,211.45 | |
Cigna
| Professional | $414.93 | $534.69 | $1,078.81 | |
Medcost
| Facility | $863.55 | $914.00 | $1,371.00 | |
Molina
| Professional | $502.70 | $502.70 | $502.70 | |
United
| Professional | $383.88 | $502.70 | $832.30 |