| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.27 | $409.27 | $416.51 | |
Aetna
| Professional | $367.72 | $402.96 | $504.26 | |
BCBS
| Facility | $1,577.48 | $2,867.21 | $4,635.57 | |
BCBS
| Professional | $378.58 | $480.00 | $779.02 | |
Cigna
| Professional | $426.53 | $506.23 | $788.00 | |
Medcost
| Facility | $395.90 | $488.35 | $837.71 | |
Molina
| Professional | $377.11 | $489.65 | $754.25 | |
United
| Professional | $381.56 | $439.21 | $717.95 |