| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $541.14 | $541.14 | $541.14 | |
Aetna
| Professional | $491.89 | $541.14 | $957.36 | |
BCBS
| Professional | $600.00 | $765.34 | $1,159.92 | |
Cigna
| Facility | $607.01 | $607.01 | $670.18 | |
Cigna
| Professional | $443.12 | $701.00 | $865.03 | |
Medcost
| Facility | $415.10 | $797.64 | $1,717.07 | |
Medcost
| Professional | $800.03 | $800.03 | $800.03 | |
Molina
| Professional | $738.79 | $738.79 | $738.79 | |
United
| Professional | $363.63 | $519.04 | $657.47 |