| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $563.40 | $563.40 | $563.40 | |
Aetna
| Professional | $215.25 | $392.24 | $627.58 | |
BCBS
| Facility | $568.80 | $598.75 | $636.91 | |
BCBS
| Professional | $628.69 | $628.69 | $628.69 | |
Cigna
| Facility | $564.36 | $564.36 | $564.36 | |
Cigna
| Professional | $411.98 | $564.36 | $1,145.63 | |
Medica
| Facility | $215.25 | $603.82 | $3,490.81 | |
Medica
| Professional | $222.28 | $400.49 | $957.19 | |
United
| Professional | $249.20 | $373.79 | $513.79 |