| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $409.06 | $409.06 | $409.06 | |
Aetna
| Professional | $383.07 | $409.06 | $723.69 | |
BCBS
| Professional | $440.00 | $554.73 | $876.06 | |
Cigna
| Facility | $124.12 | $512.80 | $566.17 | |
Cigna
| Professional | $374.35 | $497.02 | $512.80 | |
Medcost
| Facility | $355.13 | $593.00 | $1,297.97 | |
Medcost
| Professional | $462.00 | $462.00 | $462.00 | |
Molina
| Professional | $558.47 | $558.47 | $558.47 | |
United
| Professional | $274.88 | $388.19 | $497.02 |