| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.22 | $642.10 | $933.66 | |
Aetna
| Professional | $82.93 | $156.78 | $1,504.62 | |
BCBS
| Facility | $161.26 | $612.42 | $970.17 | |
BCBS
| Professional | $153.54 | $223.33 | $1,081.75 | |
Cigna
| Facility | $93.83 | $410.67 | $684.45 | |
Cigna
| Professional | $103.78 | $175.90 | $233.79 | |
Medica
| Facility | $156.78 | $234.00 | $422.81 | |
Medica
| Professional | $98.28 | $98.28 | $1,170.00 | |
United
| Professional | $98.28 | $98.28 | $140.40 |