| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $676.08 | $1,318.26 | |
Aetna
| Professional | $208.93 | $234.42 | $257.04 | |
BCBS
| Professional | $275.42 | $295.12 | $389.05 | |
Cigna
| Facility | $177.83 | $691.83 | $1,584.89 | |
Medcost
| Facility | $213.80 | $245.47 | $501.19 | |
Molina
| Professional | $30.20 | $30.20 | $30.20 | |
United
| Facility | $245.47 | $275.42 | $331.13 | |
United
| Professional | $114.82 | $165.96 | $275.42 |