| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $205.57 | $696.33 | $936.10 | |
Aetna
| Professional | $162.30 | $200.66 | $239.24 | |
BCBS
| Facility | $612.48 | $973.03 | $1,545.93 | |
Cigna
| Facility | $256.06 | $256.06 | $256.06 | |
Cigna
| Professional | $185.05 | $216.93 | $325.82 | |
Medica
| Facility | $172.53 | $207.81 | $617.86 | |
Medica
| Professional | $198.05 | $255.38 | $1,543.86 | |
United
| Professional | $198.05 | $233.73 | $395.72 |