| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.74 | $213.74 | $213.74 | |
Aetna
| Professional | $194.28 | $213.74 | $378.13 | |
BCBS
| Professional | $230.00 | $298.66 | $458.14 | |
Cigna
| Facility | $92.33 | $252.01 | $278.24 | |
Cigna
| Professional | $183.97 | $252.01 | $259.68 | |
Medcost
| Facility | $192.16 | $310.00 | $678.20 | |
Medcost
| Professional | $242.00 | $242.00 | $242.00 | |
Molina
| Professional | $291.80 | $291.80 | $291.80 | |
United
| Professional | $143.62 | $205.01 | $270.85 |