| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $318.48 | $363.06 | $442.97 | |
BCBS
| Professional | $362.69 | $362.69 | $436.46 | |
Cigna
| Professional | $289.52 | $289.52 | $289.52 | |
Medcost
| Facility | $318.48 | $363.06 | $435.67 | |
Medcost
| Professional | $325.13 | $325.13 | $325.13 | |
Molina
| Professional | $30.00 | $30.00 | $55.00 | |
United
| Professional | $281.85 | $347.56 | $529.62 |