| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.25 | $659.02 | $1,314.74 | |
Aetna
| Professional | $220.77 | $264.92 | $2,118.75 | |
BCBS
| Facility | $227.10 | $862.44 | $1,366.23 | |
BCBS
| Professional | $216.21 | $314.49 | $1,523.30 | |
Cigna
| Facility | $269.58 | $578.29 | $963.81 | |
Cigna
| Professional | $150.75 | $214.18 | $410.71 | |
Medica
| Facility | $220.77 | $329.51 | $616.17 | |
Medica
| Professional | $138.38 | $138.38 | $1,647.55 | |
United
| Professional | $138.38 | $138.38 | $197.71 |