| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $596.32 | $596.32 | $596.32 | |
Aetna
| Professional | $557.50 | $596.32 | $1,054.98 | |
BCBS
| Professional | $220.00 | $277.37 | $1,253.01 | |
Cigna
| Facility | $89.83 | $736.69 | $813.37 | |
Cigna
| Professional | $537.78 | $537.78 | $758.53 | |
Medcost
| Facility | $536.14 | $864.00 | $1,892.15 | |
Medcost
| Professional | $674.00 | $674.00 | $674.00 | |
Molina
| Professional | $814.13 | $814.13 | $814.13 | |
United
| Professional | $400.72 | $571.98 | $724.53 |