| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $489.78 | $645.65 | $1,230.27 | |
Aetna
| Professional | $162.18 | $186.21 | $245.47 | |
BCBS
| Facility | $229.09 | $302.00 | $588.84 | |
BCBS
| Professional | $199.53 | $371.54 | $407.38 | |
Cigna
| Professional | $281.84 | $478.63 | $588.84 | |
Medica
| Facility | $89.13 | $295.12 | $1,174.90 | |
Medica
| Professional | $104.71 | $147.91 | $269.15 | |
United
| Facility | $112.20 | $223.87 | $371.54 | |
United
| Professional | $141.25 | $147.91 | $269.15 |