| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $751.55 | $751.56 | $2,061.67 | |
Aetna
| Professional | $751.56 | $751.56 | $751.56 | |
BCBS
| Facility | $1,129.85 | $2,199.21 | $3,664.53 | |
Cigna
| Professional | $477.77 | $477.77 | $477.77 | |
Medcost
| Facility | $751.56 | $826.72 | $1,277.65 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |