| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $318.14 | $318.14 | $318.14 | |
Aetna
| Professional | $296.25 | $318.14 | $529.30 | |
BCBS
| Professional | $400.00 | $504.29 | $754.48 | |
Cigna
| Facility | $564.36 | $564.36 | $623.10 | |
Cigna
| Professional | $411.98 | $427.67 | $564.36 | |
Medcost
| Facility | $316.47 | $520.40 | $1,150.73 | |
Medcost
| Professional | $520.40 | $520.40 | $520.40 | |
Molina
| Professional | $480.56 | $480.56 | $480.56 | |
United
| Professional | $270.76 | $351.63 | $502.37 |