| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $330.00 | $440.00 | $1,056.00 | |
Aetna
| Professional | $325.60 | $325.60 | $470.80 | |
BCBS
| Professional | $418.00 | $418.00 | $418.00 | |
Cigna
| Facility | $115.49 | $286.00 | $1,175.46 | |
Cigna
| Professional | $91.76 | $195.98 | $642.00 | |
Medica
| Facility | $237.95 | $346.50 | $726.00 | |
Medica
| Professional | $74.20 | $184.80 | $660.00 | |
United
| Facility | $800.36 | $800.36 | $800.36 | |
United
| Professional | $74.20 | $184.80 | $242.00 |