| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $226.44 | $366.30 | $991.56 | |
Aetna
| Professional | $186.38 | $186.38 | $186.38 | |
BCBS
| Facility | $137.16 | $520.88 | $825.14 | |
BCBS
| Professional | $108.60 | $157.96 | $765.12 | |
Cigna
| Facility | $171.00 | $436.13 | $726.89 | |
Medica
| Facility | $166.50 | $248.51 | $443.55 | |
Medica
| Professional | $104.37 | $104.37 | $1,242.55 | |
United
| Professional | $104.37 | $104.37 | $149.11 |