| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $136.35 | $240.84 | $354.26 | |
Aetna
| Professional | $95.57 | $110.86 | $136.35 | |
BCBS
| Facility | $276.02 | $293.45 | $440.19 | |
BCBS
| Professional | $202.71 | $202.71 | $202.71 | |
Cigna
| Facility | $103.62 | $239.88 | $637.10 | |
Cigna
| Professional | $70.81 | $183.08 | $242.51 | |
Medica
| Facility | $104.49 | $151.69 | $221.73 | |
Medica
| Professional | $53.52 | $91.16 | $637.15 | |
United
| Professional | $53.52 | $76.45 | $203.89 |