| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $159.28 | $349.62 | $697.49 | |
Aetna
| Professional | $117.12 | $140.54 | $1,124.03 | |
BCBS
| Facility | $120.48 | $457.54 | $724.80 | |
BCBS
| Professional | $114.70 | $166.84 | $808.13 | |
Cigna
| Facility | $82.70 | $306.80 | $511.34 | |
Cigna
| Professional | $79.63 | $131.34 | $174.56 | |
Medica
| Facility | $128.83 | $183.55 | $323.98 | |
Medica
| Professional | $73.42 | $73.53 | $874.05 | |
United
| Professional | $73.42 | $73.42 | $104.89 |