| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $231.06 | $281.87 | $356.78 | |
BCBS
| Professional | $400.00 | $504.29 | $693.30 | |
Cigna
| Facility | $297.99 | $299.44 | $425.75 | |
Cigna
| Professional | $254.52 | $299.44 | $400.87 | |
Medcost
| Facility | $234.09 | $295.95 | $813.26 | |
Medcost
| Professional | $603.50 | $603.50 | $603.50 | |
Molina
| Professional | $34.06 | $255.47 | $340.63 | |
United
| Professional | $196.07 | $254.88 | $460.07 |