| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $215.61 | $291.36 | $699.26 | |
Aetna
| Professional | $215.61 | $215.61 | $311.76 | |
BCBS
| Facility | $391.51 | $525.79 | $761.61 | |
BCBS
| Professional | $276.79 | $276.79 | $276.79 | |
Cigna
| Facility | $189.38 | $189.38 | $778.35 | |
Cigna
| Professional | $129.84 | $215.72 | $425.38 | |
Medica
| Facility | $215.61 | $367.11 | $480.74 | |
Medica
| Professional | $122.37 | $122.56 | $437.04 | |
United
| Facility | $924.21 | $924.21 | $924.21 | |
United
| Professional | $122.37 | $122.56 | $291.36 |