| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $515.57 | $515.57 | $515.57 | |
Aetna
| Professional | $515.57 | $515.57 | $912.12 | |
BCBS
| Professional | $605.00 | $762.74 | $1,104.17 | |
Cigna
| Facility | $463.93 | $740.83 | $817.94 | |
Cigna
| Professional | $540.80 | $626.41 | $740.83 | |
Medcost
| Facility | $463.54 | $747.00 | $1,635.94 | |
Medcost
| Professional | $586.00 | $586.00 | $629.00 | |
Molina
| Professional | $703.88 | $703.88 | $703.88 | |
United
| Professional | $352.27 | $519.67 | $700.57 |