| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $785.65 | $785.65 | $785.65 | |
Aetna
| Professional | $785.65 | $785.65 | $1,308.58 | |
BCBS
| Facility | $108.41 | $191.97 | $323.92 | |
Cigna
| Facility | $44.21 | $321.51 | $687.57 | |
Medcost
| Facility | $598.50 | $785.65 | $989.92 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |