| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $365.04 | $365.04 | $365.04 | |
Aetna
| Professional | $344.72 | $365.04 | $607.35 | |
BCBS
| Professional | $816.01 | $816.01 | $981.99 | |
Cigna
| Facility | $525.23 | $525.23 | $579.90 | |
Cigna
| Professional | $383.42 | $513.74 | $525.23 | |
Medcost
| Facility | $245.20 | $607.35 | $1,281.54 | |
Medcost
| Professional | $613.24 | $613.24 | $613.24 | |
Molina
| Professional | $551.40 | $551.40 | $551.40 | |
United
| Professional | $301.43 | $407.10 | $551.91 |