| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $229.16 | $229.16 | $229.16 | |
Aetna
| Professional | $219.88 | $229.16 | $405.43 | |
BCBS
| Professional | $245.00 | $308.89 | $491.21 | |
Cigna
| Facility | $295.70 | $295.70 | $385.00 | |
Cigna
| Professional | $215.87 | $278.44 | $295.70 | |
Medcost
| Facility | $206.04 | $332.00 | $727.16 | |
Medcost
| Professional | $259.00 | $259.00 | $259.00 | |
Molina
| Professional | $312.87 | $312.87 | $312.87 | |
United
| Facility | $142.34 | $238.12 | $316.39 | |
United
| Professional | $154.00 | $219.82 | $278.44 |