| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $280.83 | $280.83 | $280.83 | |
Aetna
| Professional | $98.06 | $184.00 | $280.83 | |
BCBS
| Facility | $997.69 | $1,039.80 | $1,106.07 | |
BCBS
| Professional | $987.81 | $987.81 | $987.81 | |
Cigna
| Facility | $227.96 | $227.96 | $227.96 | |
Cigna
| Professional | $166.41 | $227.96 | $494.06 | |
Medica
| Facility | $98.06 | $273.33 | $1,593.03 | |
Medica
| Professional | $101.26 | $169.20 | $433.28 | |
United
| Professional | $101.26 | $163.56 | $226.61 |