| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $432.84 | $546.11 | $561.80 | |
BCBS
| Professional | $441.31 | $646.00 | $917.74 | |
Cigna
| Facility | $624.92 | $624.92 | $624.92 | |
Cigna
| Professional | $457.70 | $610.33 | $1,158.63 | |
Medcost
| Facility | $492.06 | $533.66 | $803.82 | |
Medcost
| Professional | $293.51 | $523.14 | $523.14 | |
Molina
| Professional | $35.00 | $507.51 | $573.70 | |
United
| Professional | $312.68 | $408.47 | $697.52 |