| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.72 | $398.57 | $1,039.40 | |
Aetna
| Professional | $173.23 | $195.38 | $221.43 | |
BCBS
| Facility | $48.72 | $185.02 | $293.10 | |
BCBS
| Professional | $125.91 | $183.14 | $887.10 | |
Cigna
| Facility | $143.00 | $406.39 | $728.12 | |
Medica
| Facility | $174.54 | $260.50 | $496.07 | |
Medica
| Professional | $109.41 | $109.41 | $1,297.29 | |
United
| Professional | $109.41 | $109.41 | $156.30 |