| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $401.87 | $401.87 | $401.87 | |
Aetna
| Professional | $146.71 | $263.29 | $401.87 | |
BCBS
| Facility | $499.60 | $545.08 | $578.16 | |
BCBS
| Professional | $541.04 | $541.04 | $541.04 | |
Cigna
| Facility | $297.02 | $297.02 | $297.02 | |
Cigna
| Professional | $216.82 | $297.02 | $706.88 | |
Medica
| Facility | $146.71 | $391.11 | $2,464.07 | |
Medica
| Professional | $151.51 | $242.11 | $620.01 | |
United
| Professional | $151.51 | $239.63 | $324.27 |