| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $182.24 | $294.80 | $798.00 | |
Aetna
| Professional | $128.00 | $134.00 | $150.00 | |
BCBS
| Facility | $121.67 | $462.06 | $731.97 | |
BCBS
| Professional | $115.84 | $168.50 | $816.15 | |
Cigna
| Facility | $133.60 | $325.00 | $585.00 | |
Medica
| Facility | $134.00 | $200.00 | $365.04 | |
Medica
| Professional | $84.00 | $84.00 | $996.00 | |
United
| Professional | $84.00 | $84.00 | $120.00 |