| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $74.70 | $283.70 | $449.44 | |
BCBS
| Professional | $38.74 | $56.34 | $373.35 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Medica
| Facility | $450.00 | $643.50 | $870.57 | |
Medica
| Professional | $412.47 | $494.75 | $853.06 | |
United
| Professional | $412.47 | $489.82 | $849.14 |