| 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
| Professional | $784.89 | $926.63 | $939.93 | |
Cigna
| Facility | $441.00 | $441.00 | $507.15 | |
Cigna
| Professional | $441.00 | $441.90 | $552.38 | |
Medica
| Facility | $450.00 | $661.50 | $1,350.00 | |
Medica
| Professional | $465.19 | $824.80 | $993.21 | |
United
| Professional | $504.04 | $824.80 | $993.21 |