| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $450.00 | |
Aetna
| Professional | $450.00 | $450.00 | $450.00 | |
BCBS
| Facility | $427.55 | $496.32 | $551.60 | |
BCBS
| Professional | $382.50 | $450.00 | $450.00 | |
Cigna
| Professional | $371.73 | $371.73 | $371.73 | |
Medica
| Facility | $450.00 | $505.22 | $870.57 | |
Medica
| Professional | $458.63 | $559.50 | $749.19 | |
United
| Professional | $451.23 | $559.50 | $756.98 |