| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $867.30 | $1,316.65 | $2,216.50 | |
Aetna
| Professional | $314.18 | $314.18 | $450.36 | |
BCBS
| Facility | $965.57 | $1,988.21 | $3,620.66 | |
Cigna
| Professional | $52.02 | $52.02 | $52.02 | |
Medcost
| Facility | $314.18 | $345.60 | $534.11 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |