| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $107.94 | $162.08 | $2,000.00 | |
Aetna
| Professional | $105.01 | $160.18 | $199.11 | |
BCBS
| Professional | $214.35 | $277.41 | $403.69 | |
BCBS
| Professional | 50 | $321.52 | $416.12 | $605.54 |
Cigna
| Professional | $163.15 | $296.97 | $496.85 | |
Medica
| Facility | $107.94 | $179.96 | $275.54 | |
Medica
| Professional | $183.80 | $317.29 | $803.52 | |
United
| Professional | $167.09 | $299.66 | $367.60 |