| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $549.24 | $549.24 | $549.24 | |
Aetna
| Professional | $526.99 | $549.24 | $971.70 | |
BCBS
| Professional | $1,109.71 | $1,109.71 | $1,335.43 | |
Cigna
| Facility | $616.27 | $616.27 | $680.40 | |
Cigna
| Professional | $449.88 | $616.27 | $616.27 | |
Medcost
| Facility | $549.24 | $768.94 | $1,795.61 | |
Medcost
| Professional | $881.56 | $881.56 | $881.56 | |
Molina
| Professional | $749.86 | $749.86 | $749.86 | |
United
| Professional | $369.08 | $528.94 | $783.48 |