| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $213.80 | $213.80 | $213.80 | |
BCBS
| Facility | $66.07 | $79.43 | $741.31 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Medcost
| Facility | $213.80 | $309.03 | $478.63 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $549.54 | $630.96 | $831.76 |