| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.34 | $224.34 | $224.34 | |
Aetna
| Professional | $218.23 | $224.34 | $373.24 | |
BCBS
| Professional | $295.00 | $371.92 | $531.57 | |
Cigna
| Facility | $223.34 | $344.22 | $380.05 | |
Cigna
| Professional | $251.28 | $301.57 | $344.22 | |
Medcost
| Facility | $223.16 | $360.00 | $709.55 | |
Medcost
| Professional | $282.00 | $282.00 | $303.00 | |
Molina
| Professional | $338.86 | $338.86 | $338.86 | |
United
| Professional | $168.46 | $250.18 | $376.95 |