| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $933.25 | $1,047.13 | $1,995.26 | |
Aetna
| Professional | $776.25 | $1,148.15 | $1,412.54 | |
BCBS
| Facility | $1,148.15 | $2,089.30 | $3,630.78 | |
Cigna
| Professional | $524.81 | $524.81 | $524.81 | |
Medcost
| Facility | $1,023.29 | $1,148.15 | $1,862.09 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $3,311.31 | $3,801.89 | $5,011.87 |