| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $998.54 | $998.54 | $998.54 | |
Aetna
| Professional | $347.31 | $654.22 | $998.54 | |
BCBS
| Facility | $891.06 | $972.19 | $1,031.20 | |
BCBS
| Professional | $964.98 | $964.98 | $964.98 | |
Cigna
| Facility | $711.81 | $711.81 | $711.81 | |
Cigna
| Professional | $519.62 | $711.81 | $1,744.69 | |
Medica
| Facility | $347.31 | $971.82 | $5,716.25 | |
Medica
| Professional | $358.66 | $601.58 | $1,540.54 | |
United
| Professional | $364.32 | $574.76 | $805.71 |