| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $996.65 | $996.65 | $996.65 | |
Aetna
| Professional | $347.99 | $652.97 | $996.65 | |
BCBS
| Facility | $1,288.41 | $1,405.72 | $1,491.03 | |
BCBS
| Professional | $1,395.29 | $1,395.29 | $1,395.29 | |
Cigna
| Facility | $782.41 | $782.41 | $782.41 | |
Cigna
| Professional | $571.16 | $782.41 | $1,752.66 | |
Medica
| Facility | $347.99 | $969.96 | $5,632.19 | |
Medica
| Professional | $359.36 | $600.44 | $1,537.58 | |
United
| Professional | $359.36 | $580.42 | $804.16 |