| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $389.05 | $1,000.00 | $2,570.40 | |
Aetna
| Professional | $302.00 | $380.19 | $489.78 | |
BCBS
| Facility | $281.84 | $912.01 | $1,348.96 | |
BCBS
| Professional | $389.05 | $426.58 | $851.14 | |
Cigna
| Facility | $302.00 | $389.05 | $1,412.54 | |
Cigna
| Professional | $575.44 | $616.60 | $758.58 | |
Medica
| Facility | $302.00 | $416.87 | $2,398.83 | |
Medica
| Professional | $213.80 | $213.80 | $501.19 | |
United
| Facility | $380.19 | $501.19 | $602.56 | |
United
| Professional | $213.80 | $213.80 | $407.38 |