| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $507.38 | $676.50 | $1,623.60 | |
Aetna
| Professional | $353.51 | $500.61 | $723.86 | |
BCBS
| Professional | $642.67 | $642.67 | $642.67 | |
Cigna
| Facility | $439.73 | $439.73 | $1,807.29 | |
Cigna
| Professional | $286.12 | $520.49 | $987.13 | |
Medica
| Facility | $500.61 | $676.50 | $1,136.52 | |
Medica
| Professional | $284.13 | $296.95 | $1,014.75 | |
United
| Professional | $284.13 | $296.95 | $432.96 |