| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,052.08 | $1,052.08 | $1,052.08 | |
Aetna
| Professional | $719.19 | $1,052.08 | $1,052.08 | |
BCBS
| Facility | $297.39 | $297.39 | $297.39 | |
BCBS
| Professional | $297.39 | $297.39 | $297.39 | |
Cigna
| Professional | $587.75 | $587.75 | $587.75 | |
Molina
| Professional | $17.00 | $21.25 | $50.00 |