| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $188.90 | $414.62 | $827.17 | |
Aetna
| Professional | $138.90 | $166.68 | $1,333.00 | |
BCBS
| Facility | $142.87 | $542.58 | $859.53 | |
BCBS
| Professional | $136.03 | $197.86 | $958.37 | |
Cigna
| Facility | $172.48 | $363.83 | $606.38 | |
Cigna
| Professional | $94.40 | $155.72 | $223.61 | |
Medica
| Facility | $152.79 | $217.68 | $486.25 | |
Medica
| Professional | $87.07 | $180.91 | $1,488.30 | |
United
| Professional | $87.07 | $93.27 | $181.18 |