| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $676.07 | $676.07 | $676.07 | |
Aetna
| Professional | $258.31 | $470.68 | $753.09 | |
BCBS
| Facility | $585.54 | $616.37 | $655.65 | |
BCBS
| Professional | $647.19 | $647.19 | $647.19 | |
Cigna
| Facility | $528.74 | $528.74 | $528.74 | |
Cigna
| Professional | $385.98 | $528.74 | $1,374.84 | |
Medica
| Facility | $258.31 | $724.60 | $4,189.10 | |
Medica
| Professional | $266.75 | $480.60 | $1,148.66 | |
United
| Professional | $299.04 | $448.55 | $616.57 |