| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,381.25 | $2,184.53 | $3,770.00 | |
Aetna
| Professional | $1,235.00 | $1,413.75 | $1,576.25 | |
Anthem BCBS
| Facility | $1,625.00 | $1,706.25 | $7,501.00 | |
Anthem BCBS
| Professional | $650.00 | $1,192.75 | $2,994.41 | |
Cigna
| Facility | $1,667.46 | $3,058.90 | $3,960.94 | |
Cigna
| Professional | $766.79 | $1,649.55 | $2,334.48 | |
Medica
| Facility | $975.00 | $2,031.25 | $7,718.75 | |
Medica
| Professional | $682.50 | $975.00 | $4,023.18 | |
United
| Professional | $682.50 | $975.00 | $1,837.88 |