| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $225.00 | $363.96 | $985.21 | |
Aetna
| Professional | $165.44 | $165.44 | $165.44 | |
BCBS
| Facility | $44.42 | $174.72 | $290.58 | |
BCBS
| Professional | $119.34 | $173.59 | $247.37 | |
Cigna
| Facility | $162.29 | $401.25 | $722.25 | |
Cigna
| Professional | $283.73 | $301.08 | $376.35 | |
Medica
| Facility | $165.44 | $204.94 | $1,172.86 | |
Medica
| Professional | $103.71 | $103.71 | $148.15 | |
United
| Facility | $222.23 | $222.23 | $296.30 | |
United
| Professional | $103.71 | $103.71 | $158.77 |