| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.22 | $816.22 | $816.22 | |
Aetna
| Professional | $741.94 | $816.22 | $1,444.03 | |
BCBS
| Professional | $300.00 | $378.22 | $1,715.08 | |
Cigna
| Facility | $906.54 | $906.54 | $1,000.89 | |
Cigna
| Professional | $661.77 | $906.54 | $1,024.81 | |
Medcost
| Facility | $624.64 | $1,142.71 | $2,542.09 | |
Medcost
| Professional | $1,157.02 | $1,157.02 | $1,157.02 | |
Molina
| Professional | $1,114.37 | $1,114.37 | $1,114.37 | |
United
| Professional | $525.22 | $742.87 | $991.48 |