| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $534.72 | $534.72 | $534.72 | |
Aetna
| Professional | $486.05 | $534.72 | $946.01 | |
BCBS
| Professional | $550.00 | $693.40 | $1,145.19 | |
Cigna
| Facility | $257.61 | $695.41 | $767.79 | |
Cigna
| Professional | $507.65 | $680.18 | $859.82 | |
Medcost
| Facility | $480.76 | $774.00 | $1,696.71 | |
Medcost
| Professional | $604.00 | $604.00 | $604.00 | |
Molina
| Professional | $730.03 | $730.03 | $730.03 | |
United
| Professional | $359.32 | $512.89 | $649.67 |