| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $674.45 | $674.45 | $724.68 | |
Aetna
| Professional | $262.32 | $441.88 | $674.45 | |
BCBS
| Facility | $880.72 | $960.92 | $1,019.23 | |
BCBS
| Professional | $953.78 | $953.78 | $953.78 | |
Cigna
| Facility | $579.51 | $579.51 | $579.51 | |
Cigna
| Professional | $423.04 | $579.51 | $1,244.53 | |
Medica
| Facility | $262.32 | $674.45 | $4,272.47 | |
Medica
| Professional | $270.89 | $417.11 | $989.94 | |
United
| Professional | $270.89 | $406.33 | $602.50 |