| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $846.27 | $846.27 | $846.27 | |
Aetna
| Professional | $736.71 | $746.23 | $846.27 | |
BCBS
| Facility | $3,878.46 | $6,117.46 | $9,735.10 | |
BCBS
| Professional | $89.62 | $713.13 | $1,162.84 | |
Cigna
| Professional | $818.96 | $818.96 | $818.96 | |
Medica
| Facility | $107.86 | $846.27 | $1,158.94 | |
Medica
| Professional | $620.92 | $827.90 | $1,666.56 | |
United
| Professional | $647.46 | $827.90 | $1,275.32 |