| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $274.58 | $444.19 | $1,202.39 | |
Aetna
| Professional | $200.40 | $226.01 | $256.14 | |
BCBS
| Facility | $207.68 | $788.70 | $1,249.41 | |
BCBS
| Professional | $197.73 | $287.61 | $1,393.10 | |
Cigna
| Facility | $201.30 | $489.70 | $881.46 | |
Medica
| Facility | $201.90 | $301.35 | $554.89 | |
Medica
| Professional | $126.57 | $126.57 | $1,500.72 | |
United
| Professional | $126.57 | $126.57 | $180.81 |