| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,696.50 | $3,357.90 | $5,188.63 | |
Aetna
| Professional | $975.00 | $1,413.75 | $1,738.75 | |
BCBS
| Professional | $2,031.25 | $2,031.25 | $2,031.25 | |
Cigna
| Facility | $1,068.05 | $1,711.13 | $3,684.44 | |
Cigna
| Professional | $1,551.85 | $2,334.48 | $2,371.83 | |
Medica
| Facility | $975.00 | $1,121.25 | $2,186.13 | |
Medica
| Professional | $682.50 | $975.00 | $3,315.00 | |
United
| Professional | $682.50 | $975.00 | $2,600.00 |