| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $320.39 | $320.39 | $320.39 | |
Aetna
| Professional | $253.18 | $320.39 | $320.39 | |
BCBS
| Facility | $296.17 | $594.00 | $971.94 | |
Cigna
| Facility | $247.20 | $247.20 | $247.20 | |
Cigna
| Professional | $205.76 | $205.76 | $205.76 | |
Medcost
| Facility | $320.39 | $320.39 | $544.67 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |