| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $434.75 | $466.03 | $554.50 | |
Aetna
| Professional | $255.62 | $375.00 | $780.15 | |
BCBS
| Facility | $295.18 | $1,137.66 | $1,744.51 | |
BCBS
| Professional | $202.94 | $295.18 | $2,092.62 | |
Cigna
| Facility | $368.58 | $368.58 | $368.58 | |
Cigna
| Professional | $368.58 | $368.58 | $368.58 | |
Medica
| Facility | $313.63 | $368.98 | $922.45 | |
Medica
| Professional | $347.60 | $368.98 | $369.13 | |
United
| Professional | $371.87 | $394.76 | $394.91 |