| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,098.40 | $3,873.00 | $9,295.20 | |
Aetna
| Professional | $2,904.75 | $2,904.75 | $4,144.10 | |
BCBS
| Professional | $3,679.35 | $3,679.35 | $3,679.35 | |
Cigna
| Facility | $2,517.44 | $2,517.44 | $3,398.56 | |
Cigna
| Professional | $4,717.52 | $4,717.52 | $5,652.12 | |
Medica
| Facility | $2,904.75 | $3,873.00 | $6,506.64 | |
Medica
| Professional | $1,626.66 | $1,626.66 | $5,112.35 | |
United
| Professional | $1,626.66 | $1,626.66 | $2,478.71 |