| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $195.59 | $260.79 | $625.90 | |
Aetna
| Professional | $192.98 | $195.59 | $552.88 | |
BCBS
| Facility | $387.73 | $525.79 | $761.61 | |
BCBS
| Professional | $247.75 | $247.75 | $247.75 | |
Cigna
| Facility | $169.51 | $169.51 | $696.69 | |
Cigna
| Professional | $116.15 | $263.16 | $516.00 | |
Medica
| Facility | $192.98 | $365.11 | $515.10 | |
Medica
| Professional | $109.53 | $149.43 | $391.19 | |
United
| Professional | $109.53 | $149.05 | $213.47 |