| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $204.17 | $331.13 | $416.87 | |
BCBS
| Professional | $36.31 | $40.74 | $53.70 | |
Cigna
| Facility | $676.08 | $676.08 | $676.08 | |
Cigna
| Professional | $363.08 | $363.08 | $512.86 | |
Medcost
| Facility | $281.84 | $436.52 | $870.96 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Professional | $177.83 | $263.03 | $416.87 |