| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $27.58 | $7,182.00 | $16,467.00 | |
Aetna
| Professional | $27.58 | $27.58 | $35.18 | |
BCBS
| Facility | $400.19 | $905.66 | $1,442.48 | |
Cigna
| Facility | $536.76 | $536.76 | $536.76 | |
Medcost
| Facility | $27.58 | $27.58 | $37.22 | |
Medcost
| Professional | $427.30 | $427.30 | $427.30 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 | |
United
| Facility | $225.00 | $1,221.00 | $3,585.00 |