| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $630.96 | $630.96 | $630.96 | |
Aetna
| Professional | $489.78 | $630.96 | $1,122.02 | |
BCBS
| Professional | $346.74 | $1,288.25 | $1,513.56 | |
Cigna
| Facility | $707.95 | $707.95 | $1,949.84 | |
Cigna
| Professional | $524.81 | $524.81 | $1,380.38 | |
Medcost
| Professional | $602.56 | $602.56 | $724.44 | |
Medcost
| Facility | $575.44 | $851.14 | $2,089.30 | |
Medcost
| Professional | $338.84 | $338.84 | $346.74 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $0.85 | $630.96 | $1,479.11 | |
United
| Professional | $446.68 | $630.96 | $812.83 |