| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $480.32 | $480.32 | $480.32 | |
Aetna
| Professional | $224.15 | $314.69 | $480.32 | |
BCBS
| Facility | $73.58 | $77.45 | $82.38 | |
BCBS
| Professional | $85.20 | $85.20 | $85.20 | |
Cigna
| Facility | $325.37 | $325.37 | $325.37 | |
Cigna
| Professional | $237.52 | $237.52 | $844.69 | |
Medica
| Facility | $314.69 | $452.71 | $2,714.31 | |
Medica
| Professional | $173.18 | $289.37 | $771.77 | |
United
| Professional | $192.92 | $289.37 | $453.98 |