| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $257.76 | $416.97 | $1,128.69 | |
Aetna
| Professional | $188.12 | $212.16 | $240.45 | |
BCBS
| Facility | $146.80 | $557.52 | $883.19 | |
BCBS
| Professional | $185.61 | $269.98 | $1,307.74 | |
Cigna
| Facility | $188.96 | $459.68 | $827.42 | |
Medica
| Facility | $189.53 | $282.88 | $520.48 | |
Medica
| Professional | $118.81 | $118.81 | $1,408.74 | |
United
| Professional | $118.81 | $118.81 | $169.73 |