| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $356.05 | $575.97 | $1,559.09 | |
Aetna
| Professional | $261.80 | $261.80 | $261.80 | |
BCBS
| Facility | $218.59 | $859.89 | $1,430.14 | |
BCBS
| Professional | $226.33 | $329.20 | $469.11 | |
Cigna
| Facility | $258.43 | $634.98 | $1,142.96 | |
Cigna
| Professional | $448.93 | $476.19 | $595.24 | |
Medica
| Facility | $234.45 | $312.60 | $1,856.06 | |
Medica
| Professional | $164.12 | $164.12 | $312.60 | |
United
| Professional | $164.12 | $164.12 | $312.60 |