| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $737.09 | $737.09 | $737.09 | |
Aetna
| Professional | $475.76 | $482.92 | $737.09 | |
BCBS
| Facility | $914.62 | $997.89 | $1,058.45 | |
BCBS
| Professional | $990.49 | $990.49 | $990.49 | |
Cigna
| Facility | $758.68 | $758.68 | $758.68 | |
Cigna
| Professional | $553.84 | $758.68 | $1,103.44 | |
Medica
| Facility | $249.06 | $722.50 | $3,377.04 | |
Medica
| Professional | $367.59 | $614.04 | $1,355.57 | |
United
| Professional | $409.36 | $614.04 | $918.97 |