| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $462.42 | $462.42 | $462.42 | |
Aetna
| Professional | $166.32 | $302.97 | $462.42 | |
BCBS
| Facility | $559.10 | $610.00 | $647.04 | |
BCBS
| Professional | $605.48 | $605.48 | $605.48 | |
Cigna
| Facility | $347.46 | $347.46 | $347.46 | |
Cigna
| Professional | $253.65 | $347.46 | $830.16 | |
Medica
| Facility | $166.32 | $450.04 | $2,780.76 | |
Medica
| Professional | $171.75 | $278.58 | $713.42 | |
United
| Professional | $174.46 | $278.58 | $377.15 |