| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $154.88 | $398.11 | $1,023.29 | |
Aetna
| Professional | $128.82 | $151.36 | $194.98 | |
BCBS
| Facility | $112.20 | $363.08 | $537.03 | |
BCBS
| Professional | $169.82 | $173.78 | $338.84 | |
Cigna
| Facility | $120.23 | $154.88 | $562.34 | |
Medica
| Facility | $134.90 | $199.53 | $363.08 | |
Medica
| Professional | $83.18 | $83.18 | $1,000.00 | |
United
| Facility | $181.97 | $199.53 | $239.88 | |
United
| Professional | $83.18 | $83.18 | $120.23 |