| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $707.95 | $707.95 | $707.95 | |
Aetna
| Professional | $645.65 | $812.83 | $1,230.27 | |
BCBS
| Professional | $891.25 | $1,318.26 | $1,318.26 | |
Cigna
| Facility | $1,047.13 | $1,047.13 | $1,047.13 | |
Cigna
| Professional | $758.58 | $758.58 | $1,659.59 | |
Medica
| Facility | $660.69 | $954.99 | $4,677.35 | |
Medica
| Professional | $446.68 | $724.44 | $1,862.09 | |
United
| Facility | $660.69 | $1,548.82 | $1,548.82 | |
United
| Professional | $446.68 | $676.08 | $954.99 |