| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $121.22 | $135.07 | $821.23 | |
Aetna
| Professional | $135.07 | $135.07 | $150.66 | |
BCBS
| Facility | $448.28 | $917.99 | $1,525.97 | |
BCBS
| Professional | $173.17 | $203.68 | $360.61 | |
Cigna
| Facility | $314.72 | $502.02 | $1,045.01 | |
Cigna
| Professional | $87.76 | $121.55 | $355.00 | |
Medcost
| Facility | $135.07 | $315.00 | $412.00 | |
Molina
| Professional | $95.24 | $95.24 | $95.24 | |
United
| Professional | $103.90 | $151.69 | $387.14 |