| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $287.33 | $287.33 | $287.33 | |
Aetna
| Professional | $272.08 | $287.33 | $508.34 | |
BCBS
| Professional | $300.00 | $378.22 | $615.38 | |
Cigna
| Facility | $99.00 | $347.46 | $383.62 | |
Cigna
| Professional | $253.65 | $347.46 | $349.09 | |
Medcost
| Facility | $258.33 | $416.00 | $911.74 | |
Medcost
| Professional | $325.00 | $325.00 | $325.00 | |
Molina
| Professional | $392.27 | $392.27 | $392.27 | |
United
| Professional | $193.08 | $276.70 | $364.10 |