| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $186.38 | $275.85 | $596.41 | |
Aetna
| Professional | $183.90 | $183.90 | $265.91 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $236.08 | $236.08 | $298.20 | |
Cigna
| Facility | $161.53 | $161.53 | $663.89 | |
Cigna
| Professional | $302.51 | $302.51 | $362.44 | |
Medica
| Facility | $183.90 | $248.51 | $417.50 | |
Medica
| Professional | $104.37 | $104.37 | $372.77 | |
United
| Professional | $104.37 | $104.37 | $248.51 |