| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $234.42 | $602.56 | $1,548.82 | |
Aetna
| Professional | $199.53 | $234.42 | $295.12 | |
BCBS
| Facility | $190.55 | $616.60 | $912.01 | |
BCBS
| Professional | $288.40 | $295.12 | $575.44 | |
Cigna
| Facility | $173.78 | $234.42 | $851.14 | |
Medica
| Facility | $204.17 | $302.00 | $549.54 | |
Medica
| Professional | $125.89 | $125.89 | $1,513.56 | |
United
| Facility | $269.15 | $302.00 | $363.08 | |
United
| Professional | $125.89 | $125.89 | $181.97 |