| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $378.00 | $504.00 | $1,209.59 | |
Aetna
| Professional | $302.39 | $372.96 | $378.00 | |
BCBS
| Facility | $220.23 | $295.77 | $428.45 | |
BCBS
| Professional | $478.80 | $478.80 | $504.00 | |
Cigna
| Facility | $327.60 | $331.26 | $652.21 | |
Cigna
| Professional | $224.51 | $579.03 | $731.00 | |
Medica
| Facility | $302.39 | $372.96 | $1,285.20 | |
Medica
| Professional | $211.68 | $211.68 | $630.00 | |
United
| Professional | $211.68 | $211.68 | $504.00 |