| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $816.22 | $816.22 | $816.22 | |
Aetna
| Professional | $707.46 | $816.22 | $1,444.03 | |
BCBS
| Facility | $911.41 | $911.41 | $1,716.24 | |
BCBS
| Professional | $386.43 | $1,174.08 | $1,748.07 | |
Cigna
| Facility | $1,014.49 | $1,014.49 | $1,120.08 | |
Cigna
| Professional | $740.58 | $991.73 | $1,025.05 | |
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 | $976.91 |