| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.21 | $251.19 | $741.31 | |
Aetna
| Professional | $165.96 | $194.98 | $316.23 | |
BCBS
| Facility | $218.78 | $323.59 | $426.58 | |
BCBS
| Professional | $234.42 | $234.42 | $295.12 | |
Cigna
| Facility | $162.18 | $162.18 | $660.69 | |
Cigna
| Professional | $302.00 | $302.00 | $363.08 | |
Medica
| Facility | $181.97 | $251.19 | $436.52 | |
Medica
| Professional | $104.71 | $104.71 | $933.25 | |
United
| Facility | $104.71 | $251.19 | $295.12 | |
United
| Professional | $104.71 | $104.71 | $162.18 |