| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $814.14 | $814.15 | $814.15 | |
Aetna
| Professional | $284.27 | $533.41 | $814.15 | |
BCBS
| Professional | $763.85 | $763.85 | $763.85 | |
Cigna
| Facility | $551.53 | $551.53 | $551.53 | |
Cigna
| Professional | $402.62 | $551.53 | $1,431.56 | |
Medica
| Facility | $284.27 | $792.34 | $4,601.05 | |
Medica
| Professional | $293.56 | $490.49 | $941.50 | |
United
| Professional | $298.19 | $474.14 | $656.92 |