| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $0.02 | $1,727.46 | $2,158.78 | |
Aetna
| Professional | $9.19 | $5,877.02 | $5,877.02 | |
BCBS
| Professional | $1,142.50 | $1,142.50 | $1,142.50 | |
Cigna
| Facility | $743.22 | $1,497.13 | $2,072.35 | |
Cigna
| Professional | $872.73 | $872.73 | $1,325.00 | |
Medica
| Facility | $9.19 | $731.20 | $1,590.36 | |
Medica
| Professional | $383.88 | $548.40 | $4,570.00 | |
United
| Facility | $2,513.50 | $2,513.50 | $2,513.50 | |
United
| Professional | $383.88 | $548.40 | $1,462.40 |