| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $265.49 | $462.68 | $1,162.53 | |
Aetna
| Professional | $133.72 | $195.21 | $1,873.44 | |
BCBS
| Facility | $200.80 | $762.56 | $1,208.01 | |
BCBS
| Professional | $191.17 | $278.07 | $1,346.91 | |
Cigna
| Facility | $137.88 | $511.33 | $852.21 | |
Cigna
| Professional | $129.19 | $218.89 | $290.93 | |
Medica
| Facility | $195.21 | $291.36 | $539.94 | |
Medica
| Professional | $122.37 | $122.56 | $1,456.80 | |
United
| Professional | $122.37 | $122.56 | $174.82 |