| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $250.43 | $405.10 | $1,096.57 | |
Aetna
| Professional | $182.76 | $206.12 | $233.61 | |
BCBS
| Facility | $189.41 | $719.31 | $1,139.49 | |
BCBS
| Professional | $180.33 | $262.30 | $1,270.50 | |
Cigna
| Facility | $183.59 | $446.60 | $803.88 | |
Medica
| Facility | $184.14 | $274.83 | $505.84 | |
Medica
| Professional | $115.43 | $115.43 | $1,368.65 | |
United
| Professional | $115.43 | $115.43 | $164.90 |