| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $416.78 | $516.39 | $1,000.27 | |
Aetna
| Professional | $416.78 | $416.78 | $539.22 | |
BCBS
| Facility | $66.34 | $89.15 | $130.90 | |
BCBS
| Professional | $395.94 | $395.94 | $395.94 | |
Cigna
| Facility | $270.91 | $270.91 | $365.73 | |
Cigna
| Professional | $507.69 | $507.69 | $608.27 | |
Medica
| Facility | $416.78 | $437.62 | $700.19 | |
Medica
| Professional | $175.05 | $184.76 | $625.16 | |
United
| Professional | $175.05 | $175.07 | $266.77 |