| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110.25 | $456.81 | $1,131.57 | |
Aetna
| Professional | $102.14 | $102.14 | $126.62 | |
BCBS
| Professional | $161.79 | $171.64 | $215.05 | |
Cigna
| Professional | $119.90 | $119.90 | $119.90 | |
Medcost
| Facility | $102.14 | $112.35 | $169.86 | |
Molina
| Professional | $78.33 | $82.24 | $97.91 |