| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $176.09 | $284.85 | $771.07 | |
Aetna
| Professional | $129.47 | $144.94 | $164.26 | |
BCBS
| Facility | $133.19 | $505.81 | $801.27 | |
BCBS
| Professional | $126.80 | $184.44 | $893.38 | |
Cigna
| Facility | $129.09 | $314.02 | $565.25 | |
Cigna
| Professional | $88.59 | $113.15 | $232.64 | |
Medica
| Facility | $129.47 | $193.25 | $352.93 | |
Medica
| Professional | $81.17 | $81.17 | $962.39 | |
United
| Professional | $81.17 | $81.17 | $115.95 |