| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $896.06 | $896.06 | $896.06 | |
Aetna
| Professional | $312.88 | $587.07 | $896.06 | |
BCBS
| Facility | $776.33 | $847.02 | $898.42 | |
BCBS
| Professional | $840.73 | $840.73 | $840.73 | |
Cigna
| Facility | $607.01 | $607.01 | $607.01 | |
Cigna
| Professional | $443.12 | $607.00 | $1,575.94 | |
Medica
| Facility | $312.88 | $872.08 | $5,063.85 | |
Medica
| Professional | $323.08 | $521.85 | $1,036.20 | |
United
| Professional | $323.08 | $511.03 | $723.02 |