| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $776.25 | $1,995.26 | |
Aetna
| Professional | $234.42 | $295.12 | $380.19 | |
BCBS
| Facility | $218.78 | $707.95 | $1,047.13 | |
BCBS
| Professional | $302.00 | $331.13 | $660.69 | |
Cigna
| Facility | $218.78 | $295.12 | $1,096.48 | |
Cigna
| Professional | $446.68 | $478.63 | $588.84 | |
Medica
| Facility | $234.42 | $323.59 | $1,862.09 | |
Medica
| Professional | $165.96 | $165.96 | $389.05 | |
United
| Facility | $234.42 | $354.81 | $467.74 | |
United
| Professional | $165.96 | $165.96 | $309.03 |