| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $377.55 | $503.40 | $1,208.16 | |
Aetna
| Professional | $10.07 | $372.52 | $503.40 | |
BCBS
| Facility | $25.48 | $34.54 | $50.06 | |
BCBS
| Professional | $478.23 | $478.23 | $503.40 | |
Cigna
| Facility | $327.20 | $330.86 | $651.42 | |
Cigna
| Professional | $241.63 | $525.00 | $656.25 | |
Medica
| Facility | $366.63 | $427.89 | $2,391.15 | |
Medica
| Professional | $211.43 | $211.43 | $503.40 | |
United
| Professional | $211.43 | $211.43 | $302.04 |