| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $561.59 | $561.59 | $561.59 | |
Aetna
| Professional | $368.33 | $561.59 | $993.54 | |
BCBS
| Professional | $660.00 | $832.09 | $1,203.75 | |
Cigna
| Facility | $505.35 | $632.51 | $698.33 | |
Cigna
| Professional | $461.73 | $632.51 | $682.34 | |
Medcost
| Facility | $504.91 | $797.00 | $1,644.55 | |
Medcost
| Professional | $638.00 | $638.00 | $686.00 | |
Molina
| Professional | $766.71 | $766.71 | $766.71 | |
United
| Professional | $377.38 | $535.96 | $692.00 |