| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $239.88 | $263.03 | $331.13 | |
BCBS
| Professional | $295.12 | $302.00 | $363.08 | |
Cigna
| Professional | $234.42 | $234.42 | $234.42 | |
Medcost
| Facility | $257.04 | $295.12 | $363.08 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 | |
United
| Facility | $144.54 | $144.54 | $275.42 | |
United
| Professional | $223.87 | $281.84 | $426.58 |