| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $433.15 | $433.15 | $433.15 | |
Aetna
| Professional | $398.13 | $433.15 | $480.45 | |
BCBS
| Facility | $320.02 | $584.01 | $940.62 | |
BCBS
| Professional | $195.00 | $253.21 | $548.71 | |
Cigna
| Facility | $275.20 | $275.20 | $275.20 | |
Cigna
| Professional | $469.55 | $661.41 | $888.16 | |
Medcost
| Facility | $433.15 | $485.77 | $727.69 | |
Molina
| Professional | $30.00 | $30.00 | $592.76 | |
United
| Professional | $273.58 | $373.59 | $649.29 |