| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $682.00 | $3,683.00 | $7,500.00 | |
Aetna
| Professional | $87.70 | $206.90 | $239.64 | |
BCBS
| Facility | $1,832.80 | $2,927.28 | $4,626.02 | |
BCBS
| Professional | $125.18 | $312.52 | $343.15 | |
Cigna
| Facility | $770.49 | $770.49 | $770.49 | |
Cigna
| Professional | $113.83 | $164.93 | $358.78 | |
Medica
| Facility | $94.69 | $244.85 | $2,180.00 | |
Medica
| Professional | $209.31 | $267.97 | $1,025.65 | |
United
| Facility | $375.00 | $1,325.00 | $2,637.00 | |
United
| Professional | $204.12 | $255.15 | $363.67 |