| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,493.00 | $3,324.00 | $7,977.60 | |
Aetna
| Professional | $2,459.76 | $2,459.76 | $3,556.68 | |
BCBS
| Professional | $3,157.80 | $3,157.80 | $3,157.80 | |
Cigna
| Facility | $2,160.60 | $2,184.71 | $4,301.46 | |
Cigna
| Professional | $1,480.81 | $3,819.42 | $4,820.00 | |
Medica
| Facility | $1,994.40 | $2,260.32 | $15,789.00 | |
Medica
| Professional | $1,396.08 | $1,396.08 | $4,155.00 | |
United
| Facility | $1,196.64 | $3,324.00 | $3,988.80 | |
United
| Professional | $1,396.08 | $1,396.08 | $2,160.60 |