| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $185.58 | $185.58 | $185.58 | |
Aetna
| Professional | $155.32 | $213.90 | $240.00 | |
BCBS
| Facility | $320.02 | $622.53 | $946.89 | |
BCBS
| Professional | $135.41 | $210.00 | $304.00 | |
Cigna
| Professional | $146.27 | $146.27 | $146.27 | |
Medcost
| Facility | $184.55 | $216.27 | $328.65 | |
Molina
| Professional | $176.03 | $176.03 | $176.03 | |
United
| Professional | $159.22 | $231.40 | $404.87 |