| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $407.38 | $407.38 | $407.38 | |
Aetna
| Professional | $331.13 | $407.38 | $724.44 | |
BCBS
| Professional | $436.52 | $831.76 | $977.24 | |
Cigna
| Facility | $123.03 | $512.86 | $1,288.25 | |
Cigna
| Professional | $371.54 | $371.54 | $912.01 | |
Medcost
| Professional | $363.08 | $436.52 | $478.63 | |
Medcost
| Facility | $371.54 | $549.54 | $1,318.26 | |
Medcost
| Professional | $229.09 | $229.09 | $229.09 | |
Molina
| Professional | $30.20 | $30.20 | $562.34 | |
United
| Facility | $0.56 | $416.87 | $977.24 | |
United
| Professional | $302.00 | $407.38 | $512.86 |