| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $324.00 | $324.00 | $324.00 | |
Aetna
| Professional | $231.43 | $322.67 | $397.85 | |
BCBS
| Facility | $696.56 | $1,102.53 | $1,904.73 | |
BCBS
| Professional | $568.54 | $670.10 | $690.82 | |
Cigna
| Facility | $360.89 | $360.89 | $360.89 | |
Cigna
| Professional | $432.41 | $605.00 | $1,509.19 | |
Medica
| Facility | $249.76 | $437.39 | $667.02 | |
Medica
| Professional | $349.35 | $616.54 | $1,245.84 | |
United
| Professional | $349.35 | $594.74 | $1,009.62 |