| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $447.90 | $447.90 | $447.90 | |
Aetna
| Professional | $447.90 | $447.90 | $837.66 | |
BCBS
| Professional | $300.00 | $527.49 | $1,137.22 | |
Cigna
| Facility | $758.68 | $758.68 | $837.64 | |
Cigna
| Professional | $553.84 | $758.68 | $786.60 | |
Medcost
| Facility | $249.06 | $761.43 | $1,671.33 | |
Medcost
| Professional | $973.32 | $973.32 | $973.32 | |
Molina
| Professional | $840.33 | $840.33 | $840.33 | |
United
| Professional | $413.61 | $597.33 | $859.23 |