| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.05 | $2,742.91 | $3,646.86 | |
Aetna
| Professional | $5,877.02 | $5,877.02 | $5,877.02 | |
BCBS
| Facility | $629.91 | $2,392.19 | $3,789.57 | |
BCBS
| Professional | $599.72 | $872.32 | $4,225.30 | |
Cigna
| Facility | $667.15 | $1,604.07 | $2,673.45 | |
Cigna
| Professional | $405.52 | $686.57 | $912.53 | |
Medica
| Facility | $914.00 | $1,096.80 | $1,828.00 | |
Medica
| Professional | $383.88 | $383.88 | $4,570.00 | |
United
| Professional | $383.88 | $383.88 | $548.40 |