| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $689.67 | $1,026.40 | $2,152.82 | |
Aetna
| Professional | $468.91 | $507.78 | $507.78 | |
BCBS
| Facility | $1,102.24 | $1,995.60 | $3,620.66 | |
Cigna
| Professional | $489.34 | $489.34 | $489.34 | |
Medcost
| Facility | $507.78 | $558.55 | $1,052.93 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |