| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $914.00 | $1,233.90 | $2,193.60 | |
Aetna
| Professional | $6.00 | $457.00 | $2,193.60 | |
BCBS
| Professional | $868.30 | $868.30 | $868.30 | |
Cigna
| Facility | $594.10 | $594.10 | $2,441.75 | |
Cigna
| Professional | $407.24 | $1,113.27 | $1,333.83 | |
Medica
| Facility | $914.00 | $1,279.59 | $4,341.50 | |
Medica
| Professional | $383.88 | $383.88 | $1,371.00 | |
United
| Professional | $383.88 | $383.88 | $584.96 |