| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $98.46 | $159.44 | $8,500.00 | |
Aetna
| Professional | $96.02 | $146.53 | $176.93 | |
BCBS
| Professional | $195.94 | $313.33 | $386.78 | |
BCBS
| Professional | 22 | $235.13 | $340.61 | $464.14 |
Cigna
| Professional | $183.48 | $306.97 | $525.33 | |
Medica
| Facility | $98.46 | $159.44 | $295.38 | |
Medica
| Professional | $161.68 | $281.29 | $1,248.48 | |
United
| Professional | $159.38 | $254.66 | $344.14 |