| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $302.00 | $323.59 | $407.38 | |
BCBS
| Professional | $371.54 | $371.54 | $446.68 | |
Cigna
| Professional | $288.40 | $288.40 | $288.40 | |
Medcost
| Facility | $316.23 | $363.08 | $446.68 | |
Molina
| Professional | $30.20 | $30.20 | $54.95 | |
United
| Professional | $275.42 | $363.08 | $524.81 |