| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $270.48 | $333.40 | $421.98 | |
BCBS
| Professional | $454.00 | $570.00 | $813.50 | |
Cigna
| Facility | $364.20 | $376.09 | $481.66 | |
Cigna
| Professional | $319.68 | $376.09 | $493.61 | |
Medcost
| Facility | $312.36 | $400.08 | $903.69 | |
Medcost
| Professional | $639.01 | $639.01 | $639.01 | |
Molina
| Professional | $37.85 | $283.89 | $378.49 | |
United
| Professional | $219.98 | $299.10 | $495.84 |