| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.03 | $281.94 | $2,500.00 | |
Aetna
| Professional | $113.82 | $230.59 | $284.82 | |
BCBS
| Professional | $238.68 | $515.23 | $686.98 | |
Cigna
| Facility | $207.15 | $207.15 | $207.15 | |
Cigna
| Professional | $155.38 | $319.45 | $702.21 | |
Medica
| Facility | $156.61 | $297.33 | $564.05 | |
Medica
| Professional | $298.02 | $608.51 | $2,041.44 | |
United
| Professional | $285.47 | $499.90 | $738.71 |