| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $741.31 | $741.31 | $741.31 | |
Aetna
| Professional | $630.96 | $776.25 | $1,318.26 | |
BCBS
| Professional | $251.19 | $1,047.13 | $1,737.80 | |
Cigna
| Facility | $257.04 | $1,047.13 | $2,398.83 | |
Cigna
| Professional | $758.58 | $758.58 | $1,737.80 | |
Medcost
| Professional | $524.81 | $758.58 | $977.24 | |
Medcost
| Facility | $724.44 | $1,096.48 | $2,398.83 | |
Medcost
| Professional | $426.58 | $426.58 | $436.52 | |
Molina
| Professional | $30.20 | $30.20 | $1,023.29 | |
United
| Facility | $1.07 | $776.25 | $1,819.70 | |
United
| Professional | $524.81 | $741.31 | $954.99 |