| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $645.65 | $1,862.09 | $3,548.13 | |
Aetna
| Professional | $512.86 | $512.86 | $912.01 | |
BCBS
| Facility | $977.24 | $1,862.09 | $3,630.78 | |
Cigna
| Facility | $64.57 | $64.57 | $64.57 | |
Cigna
| Professional | $489.78 | $489.78 | $489.78 | |
Medica
| Facility | $512.86 | $1,380.38 | $1,862.09 | |
United
| Facility | $1,995.26 | $2,041.74 | $2,754.23 |