| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $940.76 | $940.76 | $940.76 | |
Aetna
| Professional | $855.14 | $940.76 | $1,664.36 | |
BCBS
| Professional | $483.04 | $1,441.02 | $2,016.51 | |
Cigna
| Facility | $1,030.36 | $1,030.36 | $1,137.61 | |
Cigna
| Professional | $752.17 | $752.17 | $1,143.02 | |
Medcost
| Facility | $789.31 | $1,317.06 | $2,985.11 | |
Medcost
| Professional | $1,333.52 | $1,333.52 | $1,333.52 | |
Molina
| Professional | $1,284.39 | $1,284.39 | $1,284.39 | |
United
| Professional | $632.17 | $883.76 | $1,143.02 |