| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.00 | $307.61 | $985.21 | |
Aetna
| Professional | $165.44 | $165.44 | $165.44 | |
BCBS
| Facility | $138.13 | $543.36 | $903.70 | |
BCBS
| Professional | $143.02 | $208.02 | $296.43 | |
Cigna
| Facility | $127.32 | $314.77 | $566.60 | |
Cigna
| Professional | $120.29 | $236.24 | $354.66 | |
Medica
| Facility | $102.67 | $181.98 | $1,172.86 | |
Medica
| Professional | $81.36 | $86.36 | $135.81 | |
United
| Professional | $81.36 | $86.36 | $135.81 |