| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.50 | $234.00 | $561.60 | |
Aetna
| Professional | $173.16 | $173.16 | $250.38 | |
BCBS
| Facility | $218.11 | $295.77 | $428.45 | |
BCBS
| Professional | $222.30 | $222.30 | $222.30 | |
Cigna
| Facility | $129.10 | $152.10 | $625.13 | |
Cigna
| Professional | $104.19 | $284.99 | $341.46 | |
Medica
| Facility | $173.16 | $234.00 | $393.12 | |
Medica
| Professional | $98.28 | $98.28 | $351.00 | |
United
| Professional | $98.28 | $98.28 | $149.76 |