| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $851.14 | |
Aetna
| Professional | $100.00 | $741.31 | $933.25 | |
BCBS
| Facility | $3,630.78 | $5,754.40 | $9,332.54 | |
BCBS
| Professional | $79.43 | $151.36 | $1,174.90 | |
Cigna
| Professional | $812.83 | $812.83 | $812.83 | |
Medica
| Facility | $107.15 | $851.14 | $1,202.26 | |
Medica
| Professional | $616.60 | $831.76 | $5,011.87 | |
United
| Facility | $912.01 | $3,235.94 | $5,370.32 | |
United
| Professional | $616.60 | $794.33 | $1,122.02 |