| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $190.55 | $489.78 | $1,288.25 | |
Aetna
| Professional | $147.91 | $186.21 | $239.88 | |
BCBS
| Facility | $44.67 | $144.54 | $213.80 | |
BCBS
| Professional | $162.18 | $173.78 | $346.74 | |
Cigna
| Facility | $144.54 | $239.88 | $794.33 | |
Cigna
| Professional | $16.98 | $302.00 | $380.19 | |
Medica
| Facility | $165.96 | $208.93 | $1,174.90 | |
Medica
| Professional | $104.71 | $104.71 | $147.91 | |
United
| Facility | $147.91 | $245.47 | $295.12 | |
United
| Professional | $104.71 | $104.71 | $158.49 |