| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.78 | $252.56 | $838.95 | |
Aetna
| Professional | $91.67 | $106.33 | $130.78 | |
BCBS
| Facility | $161.80 | $172.02 | $258.02 | |
BCBS
| Professional | $157.07 | $161.07 | $161.07 | |
Cigna
| Facility | $99.38 | $230.06 | $698.42 | |
Cigna
| Professional | $77.66 | $200.70 | $242.00 | |
Medica
| Facility | $100.22 | $158.88 | $230.44 | |
Medica
| Professional | $51.33 | $100.04 | $611.10 | |
United
| Facility | $122.22 | $122.22 | $152.78 | |
United
| Professional | $51.33 | $99.79 | $183.33 |