| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.13 | $446.68 | $446.68 | |
Aetna
| Professional | $316.23 | $316.23 | $588.84 | |
BCBS
| Professional | $117.49 | $165.96 | $1,621.81 | |
Cigna
| Facility | $302.00 | $316.23 | $316.23 | |
Cigna
| Professional | $316.23 | $316.23 | $316.23 | |
Medcost
| Facility | $316.23 | $354.81 | $1,445.44 | |
Molina
| Professional | $30.20 | $316.23 | $478.63 | |
United
| Professional | $125.89 | $275.42 | $1,445.44 |