| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $748.63 | $748.63 | $748.63 | |
Aetna
| Professional | $680.49 | $748.63 | $1,324.44 | |
BCBS
| Professional | $250.00 | $315.18 | $1,588.18 | |
Cigna
| Facility | $260.01 | $1,038.85 | $1,146.98 | |
Cigna
| Professional | $758.37 | $909.58 | $1,038.85 | |
Medcost
| Facility | $673.07 | $1,084.00 | $2,375.46 | |
Medcost
| Professional | $846.00 | $846.00 | $846.00 | |
Molina
| Professional | $1,022.07 | $1,022.07 | $1,022.07 | |
United
| Professional | $503.06 | $717.34 | $909.35 |