| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $637.75 | $637.75 | $637.75 | |
Aetna
| Professional | $231.33 | $417.84 | $637.75 | |
BCBS
| Facility | $932.59 | $971.95 | $1,033.89 | |
BCBS
| Professional | $923.35 | $923.35 | $923.35 | |
Cigna
| Facility | $512.80 | $512.80 | $512.80 | |
Cigna
| Professional | $374.35 | $512.80 | $1,148.91 | |
Medica
| Facility | $231.33 | $620.69 | $3,769.74 | |
Medica
| Professional | $238.89 | $384.23 | $983.93 | |
United
| Professional | $238.89 | $377.85 | $514.60 |