| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $410.87 | $664.64 | $1,799.13 | |
Aetna
| Professional | $299.86 | $302.11 | $383.27 | |
BCBS
| Facility | $310.76 | $1,180.16 | $1,869.53 | |
BCBS
| Professional | $295.87 | $430.35 | $2,084.52 | |
Cigna
| Facility | $310.27 | $791.34 | $1,318.91 | |
Medica
| Facility | $302.11 | $450.91 | $804.06 | |
Medica
| Professional | $189.38 | $189.38 | $2,254.55 | |
United
| Professional | $189.38 | $189.38 | $270.55 |