| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $158.49 | $616.60 | $870.96 | |
Aetna
| Professional | $117.49 | $141.25 | $331.13 | |
BCBS
| Facility | $109.65 | $354.81 | $537.03 | |
BCBS
| Professional | $165.96 | $173.78 | $331.13 | |
Cigna
| Facility | $109.65 | $169.82 | $562.34 | |
Cigna
| Professional | $79.43 | $158.49 | $239.88 | |
Medica
| Facility | $125.89 | $181.97 | $316.23 | |
Medica
| Professional | $74.13 | $74.13 | $870.96 | |
United
| Facility | $158.49 | $173.78 | $208.93 | |
United
| Professional | $74.13 | $74.13 | $104.71 |