| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $601.88 | $601.88 | $601.88 | |
Aetna
| Professional | $547.10 | $601.88 | $1,064.82 | |
BCBS
| Professional | $545.00 | $687.10 | $1,276.84 | |
Cigna
| Facility | $231.00 | $944.53 | $1,042.83 | |
Cigna
| Professional | $689.51 | $731.27 | $944.53 | |
Medcost
| Facility | $541.14 | $872.00 | $1,909.81 | |
Medcost
| Professional | $680.00 | $680.00 | $680.00 | |
Molina
| Professional | $821.73 | $821.73 | $821.73 | |
United
| Professional | $404.45 | $577.30 | $731.27 |