| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $304.45 | $338.43 | $428.24 | |
BCBS
| Professional | $399.00 | $439.81 | $538.34 | |
Cigna
| Facility | $283.73 | $283.73 | $427.05 | |
Cigna
| Professional | $241.17 | $283.73 | $423.43 | |
Medcost
| Facility | $338.43 | $366.23 | $608.90 | |
Medcost
| Professional | $560.72 | $560.72 | $560.72 | |
Molina
| Professional | $23.35 | $175.15 | $311.37 | |
United
| Professional | $214.26 | $305.52 | $448.58 |