| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,218.75 | $1,625.00 | $3,900.00 | |
Aetna
| Professional | $975.00 | $975.00 | $1,218.75 | |
BCBS
| Professional | $1,543.75 | $1,543.75 | $1,625.00 | |
Cigna
| Facility | $1,056.25 | $1,068.05 | $2,102.85 | |
Cigna
| Professional | $723.98 | $1,867.59 | $2,356.00 | |
Medica
| Facility | $975.00 | $1,202.50 | $4,143.75 | |
Medica
| Professional | $682.50 | $682.50 | $2,031.25 | |
United
| Professional | $682.50 | $682.50 | $1,625.00 |