| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $625.00 | $2,876.00 | $7,500.00 | |
Aetna
| Professional | $133.06 | $188.64 | $205.17 | |
BCBS
| Facility | $539.17 | $856.57 | $1,360.90 | |
BCBS
| Professional | $141.91 | $194.62 | $266.73 | |
Cigna
| Professional | $144.26 | $214.54 | $285.82 | |
Medica
| Facility | $135.05 | $213.40 | $1,470.67 | |
Medica
| Professional | $174.33 | $210.04 | $1,540.08 | |
United
| Facility | $100.00 | $610.00 | $1,883.00 | |
United
| Professional | $168.03 | $210.04 | $304.43 |